BREAKING FREE INC


Address: 659 S River St, Aurora, IL 60506-5551
Phone: 6308971003

BREAKING FREE INC (NPI# 1164065637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164065637
Entity Type Organization
Organization Name BREAKING FREE INC
Practice Address 659 S River St
Aurora
IL 60506-5551
Mailing Address 120 Gale St
Aurora
IL 60506-5084
Practice Telephone 6308971003
Mailing Telephone 6308971003
Mailing Fax Number 6308971042
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Authorized Official Name HERBERT LEON STRICKLIN (DIRECTOR OF CLINICAL OPERATIONS)
Authorized Official Telephone 6308971003
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316580897 Breaking Free Inc Community/Behavioral Health 1329 N Lake St, Aurora, IL 60506-2409 2019-10-28
1649703018 Breaking Free Inc Clinic/Center 120 Gale St, Aurora, IL 60506-5084 2017-04-04

Office Location

Street Address 659 S RIVER ST
City AURORA
State IL
Zip Code 60506-5551

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1770077737 Harriet L Miller Registered Nurse 1081 Emerald Dr, Aurora, IL 60506 2018-06-21
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1457913501 Tcs Group Global, LLC Community/Behavioral Health 745 Lake Trl, Aurora, OH 44202-8478 2019-06-28
1942706379 Family Service Association of Greater Elgin Area Community/Behavioral Health 30 S Stolp Ave Ste 310, Aurora, IL 60506-6103 2018-04-04
1457866915 Michael Dawson Community/Behavioral Health 2851 S Parker Rd Ste 436, Aurora, CO 80014-2802 2017-12-06
1093239550 Ramstad Counseling, LLC Community/Behavioral Health 6105 S Main St Ste 213, Aurora, CO 80016-5361 2017-07-26
1366962383 Strength Based Interventions LLC Community/Behavioral Health 3976 S Atchison Way, Aurora, CO 80014-4117 2017-06-21
1275070518 Continuum of Colorado Community/Behavioral Health 3251 Revere St Ste 230, Aurora, CO 80011-1852 2017-01-25
1558728022 Centrepoint Support Living, LLC Community/Behavioral Health 21755 E Smoky Hill Rd, Aurora, CO 80015-6752 2016-01-28
1578920997 Beyond Classroom Walls Community/Behavioral Health 2600 S Parker Rd Ste 336, Aurora, CO 80014-1613 2016-01-16
1093170508 Hope and Opportunity Treatment Facility Community/Behavioral Health 380 S Potomac St Ste 130, Aurora, CO 80012-2490 2015-12-28
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Competitor

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City AURORA
Zip Code 60506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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