Breaking Free INC
Community/Behavioral Health in Aurora, IL. Organization (NPI-2).
NPI number1164065637
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1164065637
- Entity type
- Organization (NPI-2)
- Legal business name
- Breaking Free INC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
659 S River StAurora, IL 60506-5551
Phone 630-897-1003
Mailing address
120 Gale StAurora, IL 60506-5084
Phone 630-897-1003 · Fax 630-897-1042
Authorized official
Herbert Leon Stricklin
Director Of Clinical Operations
6308971003
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