NPIMap

Organization Active NPI

El Centro de Libertad/the Freedom Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Redwood City, CA
National Provider Identifier
1902193956
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
410026CN Issued in CA
Legal business name
EL CENTRO DE LIBERTAD/THE FREEDOM CENTER, INC.
Practice address
500 Allerton St
Second Floor
Redwood City, CA 94063-1519
Phone
(650) 599-9955
Fax
(650) 599-9273
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Mr. George A. Borg
Title
Chief Executive Officer
Phone
(650) 599-9955

Specialties & licenses 1

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

Addresses

Primary practice location

500 Allerton St
Second Floor
Redwood City, CA 94063-1519

Mailing address

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

Other names 1

  • El Centro de Libertad Former legal business name

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

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1902193956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST",
            "address_2": "SECOND FLOOR",
            "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": "500 ALLERTON ST",
            "address_2": "SECOND FLOOR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "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": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "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": "410026CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Centro de Libertad",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.