Provider Demographics
NPI:1356819296
Name:FREE AGENTS 4 RECOVERY
Entity Type:Organization
Organization Name:FREE AGENTS 4 RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:BAHS/CDCA/PRS
Authorized Official - Phone:330-235-2007
Mailing Address - Street 1:1640 FRANKLIN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4324
Mailing Address - Country:US
Mailing Address - Phone:855-933-2279
Mailing Address - Fax:330-968-3853
Practice Address - Street 1:1640 FRANKLIN AVE STE 102
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4324
Practice Address - Country:US
Practice Address - Phone:855-933-2279
Practice Address - Fax:330-968-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health