Too Be Free Recovery Incorporated

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

360112AN Issued in CA

Legal business name

TOO BE FREE RECOVERY INCORPORATED

Practice address

1799 N Waterman Ave Ste F
San Bernardino, CA 92404-5107

Phone

(951) 347-3672

Fax

(800) 369-3998

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Miss Stacey Yevette Harveyfuller, B.A., M.A.

Title

Ceo/Founder

Phone

(800) 953-1383

Specialties & licenses 1

Addresses

Other names 1

• Too Be Free Recovery Incorporated Other name

Locations

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1922526425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917520411",
            "telephone_number": "800-953-1383",
            "fax_number": "800-369-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE STE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "951-347-3672",
            "fax_number": "800-369-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1799 N Waterman Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924045107",
            "country_code": "US",
            "telephone_number": "951-347-3672",
            "fax_number": "800-369-3998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Commercenter E Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083443",
            "country_code": "US",
            "telephone_number": "800-953-1383",
            "fax_number": "800-369-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOO BE FREE RECOVERY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "HARVEYFULLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "YEVETTE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "800-953-1383",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.A., M.A."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "360112AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Too Be Free Recovery Incorporated",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Enrique Tolossa II, PSYD
• James Patrick Tomas, MD
• Caron Lynn Tomlin-Haynes, LMFT
• Heather Noel Toms, MSW, LCSW
• Christina Ton
• Milad Torabi
• Anthony Torres Castillo
• Yaretzy H Torres-Duran
• Karen Ann Torres-Gonzalez, LCSW
• Alyssa I Torres

• Substance Use Disorder Rehabilitation Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

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