Organization
FREE MVMNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SAULTERS (OWNER)
(347) 218-1105
Entity
Organization
Contact information
Practice address
452 MADISON ST APT 1B, BROOKLYN, NY 11221-1142
(347) 218-1105
Mailing address
452 MADISON ST APT 1B, BROOKLYN, NY 11221-1142
(347) 218-1105
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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