Breaking Free Inc

LBN: Breaking Free Inc
Breaking Free Inc is an health care organization with primary practice located at 120 Gale St , Aurora IL 60506-5084. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Breaking Free Inc can be contacted via phone (630) 897-1003, or through Mayo, Dimitrius R via phone (630) 572-0556.

Contact Information

Primary practice address
120 Gale St Aurora IL 60506-5084
Fax: (630) 897-1042
Website:
Authorized official contact:
Name: Mayo, Dimitrius R

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X A-0380-0002-A Illinois

Profile Details

NPI number 1649703018
LBN Legal business name Breaking Free Inc
DBA Doing business as
Authorized official Mayo, Dimitrius R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2017
Last updated Apr 4th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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