Free At Last

NPI 1750779914 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1750779914
Enumeration Date 12/22/2014
Last Updated 12/22/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEROME JEROME
Position CLINICAL DIRECTOR
Phone (650) 462-6999
Fax (650) 462-1055
Practice Location
1976 BAY ROAD
EAST PALO ALTO CALIF, 94303, UM
Phone (650) 462-6999
Fax (650) 462-1055
Business Location
1976 BAY ROAD
EAST PALO ALTO CA, 94303, UM
Phone (650) 462-6999
Fax (650) 462-1055
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Free At Last NPI is 1750779914, taxonomy code is 324500000X Free At Last physically located at 1976 Bay Road, East Palo Alto CALIF, 94303. NPI Number 1033115704 has the healthcare provider type.

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1750779914 NPI number is provided on an as is basis without warranty of any kind. 1750779914 is maintained by the National Plan & Provider Enumeration System. The contents of Free At Last are for informational purposes only.