Freedom Recovery Center LLC

NPI #1487884441 in Bonney Lake, Washington

Provider Information

NPI Number: 1487884441
Entity Type: Organization
Organization Name: Freedom Recovery Center LLC
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 23, 2009
Last Updated: Feb 28, 2013

Practice Location

Address: 10215 214TH AVE E
City: Bonney Lake
State: Washington
ZIP Code: 98391-3909
Phone: (253) 862-7374

Authorized Official

Name: ROBERT W LONG, COUNSELOR
Title: PROVIDER/OWNER
Phone: (253) 862-7374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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