NPI:
1144227430
Provider Name:
LIVING FREE RECOVERY SERVICES, LLC
Former Legal Business Name: LIVING WORD CHRISTIAN CENTER DBA LIVING FREE RECOVERY SERVICES
Classification:
Counselor - 101YA0400X
Entity Type:
Organization
Specialization: Addiction (Substance Use Disorder)
Address:
9201 75TH AVENUE NORTH
BROOKLYN PARK, MN
ZIP 55428
Phone:
(763) 315-7000
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LIVING FREE RECOVERY SERVICES, LLC is an addiction (substance use disorder) counselor in Brooklyn Park, MN. LIVING FREE RECOVERY SERVICES, LLC NPI is 1144227430. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Living Word Christian Center Dba Living Free Recovery Services.
The provider's business location address is:
9201 75TH AVENUE NORTH
BROOKLYN PARK, MN
ZIP 55428
Phone: (763) 315-7000
Fax: (763) 315-7177
The provider's authorized official is Treena Haase .
The authorized official title is President and has the following contact phone number (763) 315-7174.
The enumeration date for this NPI number is 7/1/2005 and was last updated on 11/1/2017.