| Freedom & Recovery Program | |
|
Freedom & Recovery Program 3405 Deer Park Dr. Se Salem OR 97310-0001 | |
| (503) 373-7758 | |
| (503) 378-6525 |
| Full Name | Freedom & Recovery Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Freedom & Recovery Program, Salem, Oregon |
| Authorized Official Name and Position | Ricardo Olalde (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 5033737758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom & Recovery Program 4676 Commercial St Se # 228 Salem OR 97302-1902 Ph: (503) 391-6721 | Freedom & Recovery Program Freedom & Recovery Program 3405 Deer Park Dr. Se Salem OR 97310-0001 Ph: (503) 373-7758 |
| NPI Number | 1417361312 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417361312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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