FREE AT LAST:COMMUNITY RECOVERY AND REHABILITATION SERVICES (NPI# 1679868715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679868715 |
| Entity Type | Organization |
| Organization Name | FREE AT LAST:COMMUNITY RECOVERY AND REHABILITATION SERVICES |
| Practice Address |
1796 Bay Rd East Palo Alto CA 94303-1611 |
| Practice Telephone | 6504626999 |
| Practice Fax Number | 6504621055 |
| Mailing Telephone | 6504626999 |
| Mailing Fax Number | 6504621055 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | MRS. ELIZABETH MENDOZA (ADMINISTRATOR) |
| Authorized Official Telephone | 6504626999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 410027AN | CA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 410027LN | CA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 410027BN | CA | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
410027IN | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FREEATLAST11 | 05 |
| Street Address |
1796 BAY RD |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336463397 | Randolph Chambers | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2010-03-19 |
| 1588053342 | Toni Louise Jackson | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2015-01-16 |
| 1063849735 | Free At Last Center | Community/Behavioral Health | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2013-09-26 |
| 1275969438 | Susan Cortopassi | Behavioral Analyst | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2013-09-19 |
| 1851636096 | Candy Renee Howard | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2012-11-28 |
| 1821357260 | Gerardo Barragan | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2012-05-04 |
| 1831467422 | Renee Vaughn | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2011-12-09 |
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|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST PALO ALTO |
| Zip Code | 94303 |
Please comment or provide details below to improve the information on FREE AT LAST:COMMUNITY RECOVERY AND REHABILITATION SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.