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Organization
BREAKFREE MEDICAL SERVICES, PROFESSIONAL ASSOCIATION. INC
Active
Organization
BREAKFREE MEDICAL SERVICES, PROFESSIONAL ASSOCIATION. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GACHAHI (PRESIDENT)
(302) 465-2182
Entity
Organization
Contact information
Practice address
254 SAFFRON CIR, MIDDLETOWN, DE 19709-9198
(302) 465-2182
Mailing address
254 SAFFRON CIR, MIDDLETOWN, DE 19709-9198
(302) 465-2182
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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