Healthcare Provider Details

I. General information

NPI: 1568846392
Provider Name (Legal Business Name): NEW FREEDOM ACADEMY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 SHAKER RD
CANTERBURY NH
03224-2714
US

IV. Provider business mailing address

6 MANOR PKWY
SALEM NH
03079-2841
US

V. Phone/Fax

Practice location:
  • Phone: 877-308-8338
  • Fax:
Mailing address:
  • Phone: 603-328-8601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BRUCE JARVIE
Title or Position: VP, TREASURER
Credential:
Phone: 214-379-3300