FREEMAN RECOVERY CENTER LLC NPI 1699181420

NPI Information

NPI: 1699181420
Provider Name: FREEMAN RECOVERY CENTER, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 44D2210070

Address:
410 CENTER AVE
DICKSON, TN
ZIP 37055
Phone: (615) 446-6859
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FREEMAN RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Dickson, TN. 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. FREEMAN RECOVERY CENTER, LLC NPI is 1699181420. The provider is registered as an organization entity type.

The provider's business location address is:

410 CENTER AVE
DICKSON, TN
ZIP 37055
Phone: (615) 446-6859
Fax: (800) 810-3915

The provider's authorized official is Shawn Edward Baker .
The authorized official title is Ceo and has the following contact phone number (615) 586-9672.

The CLIA number assigned to this NPI record is 44D2210070 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 1/13/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	L00000001597C		No
2	324500000X	Substance Abuse Rehabilitation Facility		I00000001590		Yes

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: 5/5/2024

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