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Breaking Free, Llc
Community/Behavioral Health Agency in Lebanon, Oregon
NPI 1629575212

Breaking Free, Llc is a Community/Behavioral Health Agency based in Jefferson, OR. Breaking Free, Llc practices in Lebanon, OR. The NPI Number for Breaking Free, Llc is 1629575212 and holds a License No. (Oregon).

The current practice location address for Breaking Free, Llc is 165 S Main St, Lebanon, OR and can be reached out via phone at 541-405-4622 and via fax at 541-405-4381. You can also correspond with Breaking Free, Llc through the mailing address at PO BOX 24, JEFFERSON, OR - 97352-0024 (mailing address contact number: 541-327-8099).

Location: 165 S Main St, Lebanon, OR, 97352-0024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629575212
Provider Name
Breaking Free, Llc
Credential
Provider Entity Type
Organization
Address
165 S Main St, Lebanon, OR, 97352-0024
Phone Number
541-405-4622
Fax Number
541-405-4381
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500717667 05 OR
institution
Provider Business Practice Location Address Details
Address
165 S Main St
City
Lebanon
State
Oregon
Zip
97355-4223
Phone Number
541-405-4622
Fax Number
541-405-4381
person
Provider Business Mailing Address Details
Address
165 S Main St
City
Lebanon
State
Oregon
Zip
97355-4223
Phone Number
541-405-4622
Fax Number
541-405-4381
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
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