Freedom Recovery Llc

LBN: Freedom Recovery Llc
Freedom Recovery Llc is an health care organization with primary practice located at 1800 Garrett Way Ste 47 , Pocatello ID 83201-5132. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Freedom Recovery Llc can be contacted via phone (208) 252-6464, or through Hunt, Jonathon Eisenhower via phone (208) 241-9790.

Contact Information

Primary practice address
1800 Garrett Way Ste 47 Pocatello ID 83201-5132
Phone: (208) 252-6464
Fax: (208) 904-0792
Website:
Map and Directions
Authorized official contact:
Name: Hunt, Jonathon Eisenhower
Phone: (208) 241-9790

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1861159238
LBN Legal business name Freedom Recovery Llc
DBA Doing business as
Authorized official Hunt, Jonathon Eisenhower
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2021
Last updated Mar 2nd, 2024 - about 8 months 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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