Clean Programming LLC

NPI #1750004602 in Lima, Ohio

Provider Information

NPI Number: 1750004602
Entity Type: Organization
Organization Name: Clean Programming LLC
Primary Specialty: Counselor
Enumeration Date: Sep 23, 2022
Last Updated: Sep 23, 2022

Practice Location

Address: 319 W MARKET ST
City: Lima
State: Ohio
ZIP Code: 45801-4713
Phone: (614) 642-4700

Authorized Official

Name: ANTONIO SMITH
Title: CEO
Phone: (614) 642-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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