MEDICARE: FREEDOM HOUSE RECOVERY CENTER, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208D00000X	General Practice Physician
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MHL032607	OTHER	NC	DHHS-DHSR

General Provider Information

NPI Number	:	1801940457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM HOUSE RECOVERY CENTER, INC.

Provider Business Mailing Address
First Line	:	104 NEW STATESIDE DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-1165
Country	:	US
Telephone Number	:	919-942-2803
Fax Number	:	919-942-2126

Provider Business Practice Location Address
First Line	:	400 CRUTCHFIELD ST
Second Line	:	STE D
City	:	DURHAM
State	:	NC
Zip	:	27704-2771
Country	:	US
Telephone Number	:	919-251-8806
Fax Number	:	919-294-9208

Authorized Official
Title or Position	:	CEO
Name	:	JOYCE HARPER
Credential	:
Telephone Number	:	919-942-2803

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	04/22/2022

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Directions to “FREEDOM HOUSE RECOVERY CENTER, INC. ” Practice Location

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