30D2188564 CLIA NUMBER - NEW FREEDOM ACADEMY

Laboratory Demographics

CLIA Number: 30D2188564

Facility Name: NEW FREEDOM ACADEMY

Facility Address:
57 N MAIN ST, STE 301
CONCORD, NH
ZIP 03301
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Facility Phone Number: 603 328-8601

Facility Type: Other - ADDICTION TREATMENT CTR

Certificate Type: Waiver

NPI Number: 1568846392

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	30D2188564
LAB Type	Other - ADDICTION TREATMENT CTR
Facility Name	NEW FREEDOM ACADEMY
Street	57 N MAIN ST, STE 301
City	CONCORD
State	NH
ZIP	03301
Phone	603 328-8601
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024