Free At Last:Community Recovery And Rehabilitation Services

LBN: Free At Last:Community Recovery And Rehabilitation Services
Free At Last:Community Recovery And Rehabilitation Services is an health care organization with primary practice located at 1796 Bay Rd , East Palo Alto CA 94303-1611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Free At Last:Community Recovery And Rehabilitation Services can be contacted via phone (650) 462-6999, or through Mendoza, Elizabeth via phone (650) 462-6999.

Contact Information

Primary practice address
1796 Bay Rd East Palo Alto CA 94303-1611
Phone: (650) 462-6999
Fax: (650) 462-1055
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Elizabeth
Phone: (650) 462-6999

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 410027IN California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 410027AN California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 410027LN California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 410027BN California

Profile Details

NPI number 1679868715
LBN Legal business name Free At Last:Community Recovery And Rehabilitation Services
DBA Doing business as
Authorized official Mendoza, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679868715 NPPES
California MEDICAID FREEATLAST11

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