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LIVING IN FREEDOM TOGETHER LIFT INC NPI 1104469592


NPI Information

NPI: 1104469592
Provider Name: LIVING IN FREEDOM TOGETHER LIFT INC

Doing Business As: JANA'S PLACE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
40 MENDON ST
WORCESTER, MA
ZIP 01604
Phone: (508) 762-9660
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LIVING IN FREEDOM TOGETHER LIFT INC is a substance abuse rehabilitation facility in Worcester, MA. 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. LIVING IN FREEDOM TOGETHER LIFT INC NPI is 1104469592. The provider is registered as an organization entity type.
The provider Is Doing Business As Jana's Place.

The provider's business location address is:

40 MENDON ST
WORCESTER, MA
ZIP 01604-824
Phone: (508) 762-9660

The provider's authorized official is Courtney Ross .
The authorized official title is Chief Operating Officer and has the following contact phone number (617) 312-0848.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 3/4/2020.


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
1276400000XRehabilitation, Substance Use Disorder UnitNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
3324500000XSubstance 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: 11/14/2023

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