Organization
FREEDOM RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEE BENTZ (ADMINISTRATOR)
(318) 570-5907
Entity
Organization
Contact information
Practice address
205 GRAYSON ST, WEST MONROE, LA 71292-6231
(318) 570-5907
Mailing address
205 GRAYSON ST, WEST MONROE, LA 71292-6231
(318) 570-5907
(318) 654-4957
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-2256058
—
LA
Enumeration date
11/01/2022
Last updated
03/03/2023
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