| Breaking Free Of Addiction | |
|
27140 Plum St Perris CA 92570-7720 | |
| (951) 443-9758 | |
| Not Available |
| Full Name | Breaking Free Of Addiction |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 27140 Plum St, Perris, California |
| Authorized Official Name and Position | Christy Lennox (DRUG AND ALCOHOL COUNSELOR) |
| Authorized Official Contact | 9514439758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free Of Addiction 27140 Plum St Perris CA 92570-7720 Ph: (951) 443-9758 | Breaking Free Of Addiction 27140 Plum St Perris CA 92570-7720 Ph: (951) 443-9758 |
| NPI Number | 1457897266 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457897266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A8250912 (California) | Primary |
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