Organization
NEW FREEDOM RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
10215 214TH AVE E, BONNEY LAKE, WA 98391-3909
(253) 862-7374
Mailing address
10215 214TH AVE E, BONNEY LAKE, WA 98391-3909
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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