NEW FREEDOM RECOVERY CENTER LLC NPI 1215352018

NPI Information

NPI: 1215352018
Provider Name: NEW FREEDOM RECOVERY CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 50D2073233

Address:
10215 214TH AVE E
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 862-7374
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NEW FREEDOM RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in Bonney Lake, WA. NEW FREEDOM RECOVERY CENTER LLC NPI is 1215352018. The provider is registered as an organization entity type.

The provider's business location address is:

10215 214TH AVE E
BONNEY LAKE, WA
ZIP 98391-909
Phone: (253) 862-7374

The provider's authorized official is Matthew Luchini .
The authorized official title is Account Manager and has the following contact phone number (928) 533-4220.

The CLIA number assigned to this NPI record is 50D2073233 - other - drug treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 3/3/2014.

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			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: 4/28/2024

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