FREEDOM RECOVERY LLC NPI 1801337423

NPI Information

NPI: 1801337423
Provider Name: FREEDOM RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2136482

Address:
4998 W BROAD ST STE 104
COLUMBUS, OH
ZIP 43228
Phone: (614) 754-8051
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FREEDOM RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Columbus, OH. FREEDOM RECOVERY LLC NPI is 1801337423. The provider is registered as an organization entity type.

The provider's business location address is:

4998 W BROAD ST STE 104
COLUMBUS, OH
ZIP 43228-647
Phone: (614) 754-8051

The provider's authorized official is Chad Kelly .
The authorized official title is Co-owner / Program Director and has the following contact phone number (614) 767-8273.

The CLIA number assigned to this NPI record is 36D2136482 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 7/30/2020.

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 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: 11/14/2023

NPI Synchronization or Removal

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