44D2210070 CLIA NUMBER - FREEMAN RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 44D2210070

Facility Name: FREEMAN RECOVERY CENTER LLC

Facility Address:
1615 HWY 96
BURNS, TN
ZIP 37029
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Facility Phone Number: 615 446-6859

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1699181420

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	44D2210070
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	FREEMAN RECOVERY CENTER LLC
Street	1615 HWY 96
City	BURNS
State	TN
ZIP	37029
Phone	615 446-6859
CertificateType	4
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Waiver

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