FREEDOM RECOVERY CENTER LLC. NPI 1528401072

NPI Information

NPI: 1528401072
Provider Name: FREEDOM RECOVERY CENTER, LLC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1470 W GURLEY ST
PRESCOTT, AZ
ZIP 86305
Phone: (928) 379-0075
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FREEDOM RECOVERY CENTER, LLC. is a rehabilitation and substance use disorder clinic center in Prescott, AZ. FREEDOM RECOVERY CENTER, LLC. NPI is 1528401072. The provider is registered as an organization entity type.

The provider's business location address is:

1470 W GURLEY ST
PRESCOTT, AZ
ZIP 86305-855
Phone: (928) 379-0075
Fax: (855) 379-3977

The provider's authorized official is Ryan W Jeske .
The authorized official title is Ceo and has the following contact phone number (928) 379-0075.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/15/2013.

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	BH4228	ARIZONA	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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