Break Free Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BREAK FREE RECOVERY LLC

Practice address

3030 S College Ave Unit 210
Fort Collins, CO 80525-2557

Phone

(970) 689-8370

NPI assigned

Mar 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taylor Robert Reed, NCPRSS, RCP-F

Title

Managing Director, Peer Specialist

Phone

(970) 689-8370

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1245939032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-689-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-689-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK FREE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR, PEER SPECIALIST",
        "authorized_official_telephone_number": "970-689-8370",
        "authorized_official_credential": "NCPRSS, RCP-F"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.