BREAKING FREE OF ADDICTION NPI 1831560531

NPI Information

NPI: 1831560531
Provider Name: BREAKING FREE OF ADDICTION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
29399 PIERCE AVE
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 443-9758
Get Directions

BREAKING FREE OF ADDICTION is an addiction (substance use disorder) counselor in Lake Elsinore, CA. BREAKING FREE OF ADDICTION NPI is 1831560531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29399 PIERCE AVE
LAKE ELSINORE, CA
ZIP 92530-832
Phone: (951) 443-9758

The provider's authorized official is Christy Lennox .
The authorized official title is Cd Counselor and has the following contact phone number (951) 443-9758.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A8250912	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A8250912	OTHER		CERTIFICATION

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

NPI Synchronization or Removal

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