| Breaking Free Inc | |
|
659 S River St Aurora IL 60506-5551 | |
| (630) 897-1003 | |
| Not Available |
| Full Name | Breaking Free Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 659 S River St, Aurora, Illinois |
| Authorized Official Name and Position | Herbert Leon Stricklin (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 6308971003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free Inc 120 Gale St Aurora IL 60506-5084 Ph: (630) 897-1003 | Breaking Free Inc 659 S River St Aurora IL 60506-5551 Ph: (630) 897-1003 |
| NPI Number | 1164065637 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164065637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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