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LIVE FREE RECOVERY SERVICES LLC NPI 1205461886


NPI Information

NPI: 1205461886
Provider Name: LIVE FREE RECOVERY SERVICES, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 30D2215473

Address:
881 MARLBORO RD
KEENE, NH
ZIP 03431
Phone: (603) 438-3276
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LIVE FREE RECOVERY SERVICES, LLC is a substance abuse rehabilitation facility in Keene, NH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIVE FREE RECOVERY SERVICES, LLC NPI is 1205461886. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

881 MARLBORO RD
KEENE, NH
ZIP 03431-617
Phone: (603) 438-3276

The provider's authorized official is Ryan Gagne .
The authorized official title is Ceo and has the following contact phone number (603) 438-3276.

The CLIA number assigned to this NPI record is 30D2215473 - other - sud outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 11/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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