Healthcare Provider Details

I. General information

NPI: 1447602255
Provider Name (Legal Business Name): NEW FREEDOM BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 HILLSIDE LN
FALLSINGTON PA
19054-1133
US

IV. Provider business mailing address

90 W AFTON AVE
YARDLEY PA
19067-1421
US

V. Phone/Fax

Practice location:
  • Phone: 267-201-8683
  • Fax: 215-970-5347
Mailing address:
  • Phone: 267-512-6015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number097109
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. STACY M HILL
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 609-577-7302