Organization Active NPI

The Freedom Recovery Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
National Provider Identifier
1720601636
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE FREEDOM RECOVERY CENTER LLC
Doing business as
The Freedom Recovery Center LLC
Practice address
4130 Linden Ave Ste 185
Dayton, OH 45432-3040
Phone
(937) 380-2418
NPI assigned
May 27, 2020
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE FREEDOM RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Terry Hill, M.ED.
Title
Executive Director
Phone
(937) 380-2418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4130 Linden Ave Ste 185
Dayton, OH 45432-3040

Mailing address

4130 Linden Ave Ste 185
Dayton, OH 45432-3040

Other names 1

  • The Freedom Recovery Center LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Freedom Recovery Center LLC2 organizations share this tax ID, including this one
Part of
The Freedom Recovery Center LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1720601636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 185",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 185",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323040",
            "telephone_number": "937-380-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FREEDOM RECOVERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FREEDOM RECOVERY CENTER LLC",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-380-2418",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Freedom Recovery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.