Active NPI
Freedom Trek Recovery Services Inc.
- Community/Behavioral Health Agency
- Redding, CA
National Provider Identifier
1750985602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FREEDOM TREK RECOVERY SERVICES INC.
- Practice address
- 1320 Yuba St Ste B11
Redding, CA 96001-1005 - Phone
- (530) 319-3109
- NPI assigned
- Nov 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Duane Dozier, IADC
- Title
- Executive Director
- Phone
- (530) 319-3109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1320 Yuba St Ste B11
Redding, CA 96001-1005
Mailing address
PO Box 493640
Redding, CA 96049-3640
Phone (530) 319-3109
National Provider Directory
National Provider DirectoryLocations
1320 Yuba St
Ste B11
Redding, CA 96001
Phone (530) 319-3109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Atlantic, IA
- NPI 1932573870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606003200000",
"number": "1750985602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 493640",
"city": "REDDING",
"state": "CA",
"postal_code": "960493640",
"telephone_number": "530-319-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 YUBA ST STE B11",
"city": "REDDING",
"state": "CA",
"postal_code": "960011005",
"telephone_number": "530-319-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM TREK RECOVERY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-22",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A",
"authorized_official_last_name": "DOZIER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "530-319-3109",
"authorized_official_credential": "IADC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.