Clean Slate Sober Living

LBN: Clean Slate Sober Living
Clean Slate Sober Living is an health care organization with primary practice located at 714 E Main St , Trotwood OH 45426-2909. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Agencies / Community/Behavioral Health is the primary health care specialty. Clean Slate Sober Living can be contacted via phone (844) 548-7627, or through Woods, Leiland via phone (404) 782-2988.

Contact Information

Primary practice address
714 E Main St Trotwood OH 45426-2909
Phone: (844) 548-7627
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woods, Leiland
Phone: (404) 782-2988

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1538638218
LBN Legal business name Clean Slate Sober Living
DBA Doing business as
Authorized official Woods, Leiland
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2018
Last updated Dec 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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