| Freedom Goals Llc | |
|
5027 W Elijah Ln San Tan Valley AZ 85144-0236 | |
| (973) 342-1020 | |
| Not Available |
| Full Name | Freedom Goals Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5027 W Elijah Ln, San Tan Valley, Arizona |
| Authorized Official Name and Position | Kwadwo Boakye-yiadom (ADMINISTRATOR) |
| Authorized Official Contact | 9733421020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Goals Llc 5027 W Elijah Ln San Tan Valley AZ 85144-0236 Ph: () - | Freedom Goals Llc 5027 W Elijah Ln San Tan Valley AZ 85144-0236 Ph: (973) 342-1020 |
| NPI Number | 1104660034 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104660034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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