NPIMap

Organization Active NPI

El Centro de Libertad/the Freedom Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Half Moon Bay, CA
National Provider Identifier
1336579713
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
410026DN Issued in CA
Legal business name
EL CENTRO DE LIBERTAD/THE FREEDOM CENTER, INC.
Practice address
225 South Cabrillo Highway
Building D, Suite 105
Half Moon Bay, CA 94019-8200
Phone
(650) 599-9955
Fax
(650) 599-9273
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Mr. George Borg
Title
Ceo
Phone
(650) 599-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 410026DN CA Primary

Addresses

Primary practice location

225 South Cabrillo Highway
Building D, Suite 105
Half Moon Bay, CA 94019-8200

Mailing address

500 Allerton St FL 2
Redwood City, CA 94063-1519
Phone (650) 599-9955

National Provider Directory

National Provider Directory
Tax ID family
El Centro de Libertad2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 Cabrillo Hwy S
Bldg D
Half Moon Bay, CA 94019
Phone (650) 599-9955

500 Allerton St
Fl 2
Redwood City, CA 94063
Phone (650) 599-9955

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1336579713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST FL 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-599-9955",
            "fax_number": "650-599-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SOUTH CABRILLO HIGHWAY",
            "address_2": "BUILDING D, SUITE 105",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940198200",
            "telephone_number": "650-599-9955",
            "fax_number": "650-599-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DE LIBERTAD/THE FREEDOM CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-599-9955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "410026DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.