MEDICARE: NEW FREEDOM BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	097109	PA
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1447602255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW FREEDOM BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	90 W AFTON AVE
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-1421
Country	:	US
Telephone Number	:	267-512-6015
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 HILLSIDE LN
Second Line	:
City	:	FALLSINGTON
State	:	PA
Zip	:	19054-1133
Country	:	US
Telephone Number	:	267-201-8683
Fax Number	:	215-970-5347

Authorized Official
Title or Position	:	VICE PRESIDENT OF OPERATIONS
Name	:	MS. STACY M HILL
Credential	:
Telephone Number	:	609-577-7302

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	02/02/2023

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