Organization Active NPI

Freedom Trek Recovery Services Inc.

  • Community/Behavioral Health Agency
  • Redding, CA
National Provider Identifier
1750985602
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Nov 22, 2020

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

Authorized official

Name
Larry Duane Dozier, IADCNPI 1932573870
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.