Freedom Addiction Therapeutic Services,inc.
Substance Abuse Rehabilitation Facility in Palmdale, CA. Organization (NPI-2).
NPI number1902445331
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1902445331
- Entity type
- Organization (NPI-2)
- Legal business name
- Freedom Addiction Therapeutic Services,inc.
- Organization subpart
- No
- Enumeration date
- Jan 2, 2020
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
502 Sugar Loaf DrPalmdale, CA 93551-7953
Phone 661-526-7495 · Fax 661-526-7508
Mailing address
502 Sugar Loaf DrPalmdale, CA 93551-7953
Phone 661-526-7495 · Fax 661-526-7508
Authorized official
Derrick L. Smith
Medical Director
9515515201
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