Breaking Free in Aurora - Community/behavioral Health
Breaking Free - NPI 1295872513
Breaking Free is a Community/behavioral Health in Aurora, Illinois. Breaking Free practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Breaking Free is 1295872513. The last update date is 2020-07-21.
Breaking Free's current location address is 120 Gale St, Aurora, Illinois. You can contact this provider via phone number 6308971003 and fax number 6305720566. The mailing address for Breaking Free is 120 Gale St, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breaking Free |
|---|---|
| Address | 120 Gale St, Aurora, Illinois |
| Phone Number | 6308971003 |
| Fax Number | 6305720566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Stricklin Herbert |
| Credentials | M.S., LCPC |
| Telephone Number | 6308971003 |
NPI Number Detail
| NPI Number | 1295872513 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-07-21 |
Provider Mailing Address Detail
| Address | 120 Gale St |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 6050650840 |
| Phone Number | 6308971003 |
| Fax Number | 6305720566 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | A-0380-0002- |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1839 | IL | BLUE CROSS PROVIDER NUMBE | |
| 380 | IL | DASA PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Breaking Free by the Centers for Medicare & Medicaid Services?
The Breaking Free has been assigned the NPI (National Provider Identifier) 1295872513. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Breaking Free's facilities are geographically located?
The facilities of Breaking Free are physically situated at the following location: 120 Gale St, Aurora, IL, 6050650840.
What is Breaking Free's area of expertise and its corresponding taxonomy classification?
The Breaking Free's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Breaking Free receive the assignment of its 1295872513 from the Centers for Medicare & Medicaid Services?
The Breaking Free was issued its 1295872513 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information regarding Breaking Free, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Breaking Free, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-07-21.
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