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General NPI Number Information
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NPI Number | 1598573552
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS FOR FREEDOM, INC.
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3853 N 15TH ST APT 1
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City | MILWAUKEE
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State | WI
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Zip | 53206-2913
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Country | US
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Telephone | 414-698-4187
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 E CAPITOL DR UNIT 11908
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City | MILWAUKEE
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State | WI
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Zip | 53211-4634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DANA WORLD-PATTERSON
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Credential |
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Telephone | 414-698-4187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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