BREAKING FREE INC. NPI 1477919405

NPI Information

NPI: 1477919405
Provider Name: BREAKING FREE INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
120 GALE ST
AURORA, IL
ZIP 60506
Phone: (630) 897-1003
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BREAKING FREE INC. is a mental health (including community mental health center) clinic center in Aurora, IL. BREAKING FREE INC. NPI is 1477919405. The provider is registered as an organization entity type.

The provider's business location address is:

120 GALE ST
AURORA, IL
ZIP 60506-084
Phone: (630) 897-1003
Fax: (630) 897-1042

The provider's authorized official is Dimitrius R. Mayo .
The authorized official title is Manager, Revenue Cycle and has the following contact phone number (630) 572-0556.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 4/13/2017.

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	251S00000X	Community/Behavioral Health			ILLINOIS	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/14/2023

NPI Synchronization or Removal

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