Organization · NPI-2

Freedom Recovery Foundation INC

Counselor, Addiction (Substance Use Disorder) · Independence, MO

NPI number1407597826

StatusActive

Last updated in NPPESApr 7, 2022

Details

NPI: 1407597826
Entity type: Organization (NPI-2)
Legal business name: Freedom Recovery Foundation INC
Organization subpart: No
Enumeration date: Apr 7, 2022
Certification date: Apr 7, 2022
Last updated: Apr 7, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–	Yes
251B00000X	Case Management	–	–
251J00000X	Nursing Care	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
276400000X	Rehabilitation, Substance Use Disorder Unit	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–

Practice location

204 E Gudgell Ave
Independence, MO 64055-1442

Phone 816-786-4253 · Fax 888-834-2444

Mailing address

204 E Gudgell Ave
Independence, MO 64055-1442

Phone 816-786-4253 · Fax 888-834-2444

Other practice locations

12820 E 47th St S
Independence, MO 64055-5606

Phone 816-786-4253

Authorized official

Sheila Hale
Director Of Finance
8167864253

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