Provider Demographics
NPI:1194922617
Name:THE FREEDOM CENTER
Entity type:Organization
Organization Name:THE FREEDOM CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEDOM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LPC
Authorized Official - Phone:303-420-9430
Mailing Address - Street 1:870 KIPLING ST # B
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5826
Mailing Address - Country:US
Mailing Address - Phone:303-420-9430
Mailing Address - Fax:303-420-1095
Practice Address - Street 1:870 KIPLING ST # B
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5826
Practice Address - Country:US
Practice Address - Phone:303-420-9430
Practice Address - Fax:303-420-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2354101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty