Organization
FRIENDS OF FREEDOM HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GARNER (CEO)
(479) 219-5292
Entity
Organization
Contact information
Practice address
404 LAKE FRONT DRIVE, RUSSELLVILLE, AR 72802
(479) 968-7086
Mailing address
404 LAKE FRONT DRIVE, RUSSELLVILLE, AR 72802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
07/02/2020
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