Provider Demographics
NPI:1902662554
Name:REFRESH COLLECTIE
Entity Type:Organization
Organization Name:REFRESH COLLECTIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-882-5323
Mailing Address - Street 1:605 BURNS ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45204-1942
Mailing Address - Country:US
Mailing Address - Phone:513-926-4835
Mailing Address - Fax:
Practice Address - Street 1:605 BURNS ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204-1942
Practice Address - Country:US
Practice Address - Phone:513-926-4835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management