| Freedom Recovery | |
|
4998 W Broad St Ste 104 Columbus OH 43228-1647 | |
| (614) 754-8051 | |
| Not Available |
| Full Name | Freedom Recovery |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4998 W Broad St Ste 104, Columbus, Ohio |
| Authorized Official Name and Position | Jessie Costley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4438396928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Recovery 4998 W Broad St Ste 104 Columbus OH 43228-1647 Ph: (614) 754-8051 | Freedom Recovery 4998 W Broad St Ste 104 Columbus OH 43228-1647 Ph: (614) 754-8051 |
| NPI Number | 1326875238 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326875238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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