| NPI | 1013782879 |
|---|---|
| Former Legal Business Name | FREEDOM BEHAVIORAL HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MARIE BETTY FANFAN CEO 203-820-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |