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FREEDOM RECOVERY LLC NPI 1861159238


NPI Information

NPI: 1861159238
Provider Name: FREEDOM RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1500 DELPHIC WAY
POCATELLO, ID
ZIP 83201
Phone: (208) 241-9790
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FREEDOM RECOVERY LLC is a substance abuse rehabilitation facility in Pocatello, ID. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FREEDOM RECOVERY LLC NPI is 1861159238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 DELPHIC WAY
POCATELLO, ID
ZIP 83201-293
Phone: (208) 241-9790

The provider's authorized official is Jonathon Eisenhower Hunt .
The authorized official title is Owner and has the following contact phone number (208) 241-9790.

The enumeration date for this NPI number is 11/20/2021 and was last updated on 3/1/2022.


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)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5276400000XRehabilitation, Substance Use Disorder UnitNo
6324500000XSubstance Abuse Rehabilitation FacilityYes

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

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.