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Breaking Free
Substance Use Disorder Rehabilitation Clinic/Center in Aurora, Illinois
NPI 1295872513

Breaking Free is a Substance Use Disorder Rehabilitation Clinic/Center based in Aurora, IL and is specialized in Rehabilitation, Substance Use Disorder. Breaking Free practices in Aurora, IL. The NPI Number for Breaking Free is 1295872513 and holds a License No. A-0380-0002-A (Illinois).

The current practice location address for Breaking Free is 120 Gale St, Aurora, IL and can be reached out via phone at 630-897-1003 and via fax at 630-572-0566.

Location: 120 Gale St, Aurora, IL, 60506-5084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295872513
Provider Name
Breaking Free
Credential
Provider Entity Type
Organization
Address
120 Gale St, Aurora, IL, 60506-5084
Phone Number
630-897-1003
Fax Number
630-572-0566
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1839 01 IL BLUE CROSS PROVIDER NUMBE
0380 01 IL DASA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
120 Gale St
City
Aurora
State
Illinois
Zip
60506-5084
Phone Number
630-897-1003
Fax Number
630-572-0566
person
Provider Business Mailing Address Details
Address
120 Gale St
City
Aurora
State
Illinois
Zip
60506-5084
Phone Number
630-897-1003
Fax Number
630-572-0566
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-0380-0002-A (Illinois)
Definition
Definition to come...
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