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ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY NPI 1275509143


NPI Information

NPI: 1275509143
Provider Name: ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY

Other Name: FREEDOM CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
106 E GAMBIER ST
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 397-2660
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ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY is a community behavioral health in Mount Vernon, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY NPI is 1275509143. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Freedom Center.

The provider's business location address is:

106 E GAMBIER ST
MOUNT VERNON, OH
ZIP 43050-510
Phone: (740) 397-2660
Fax: (740) 392-3613

The provider's authorized official is Jeffrey Williams .
The authorized official title is Executive Director and has the following contact phone number (740) 397-2660.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 9/28/2016.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)1311OHIONo
2251S00000XCommunity/Behavioral Health01-7560OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1729264OTHEROHIOBWC
2OH750732-00OTHEROHIONFR ID
362-15262OTHEROHIOPHP/UBS NUMBER
462-15262OTHEROHIOUHC OR UBH NUMBER
501311MEDICARE UPINOHIO
645660OTHEROHIOODADAS AGENCY NUMBER
735842OTHEROHIOMBC (MERIT/BIODYNE)
81311MEDICAIDOHIO
9LICKBO131199OTHEROHIOPSEUDO UCI
103908853OTHEROHIOFDA ID#

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.