Provider Demographics
NPI:1073068144
Name:RETURN WITH FREEDOM, INC
Entity Type:Organization
Organization Name:RETURN WITH FREEDOM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:888-634-6999
Mailing Address - Street 1:817 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3265
Mailing Address - Country:US
Mailing Address - Phone:888-634-6999
Mailing Address - Fax:888-634-6999
Practice Address - Street 1:817 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3265
Practice Address - Country:US
Practice Address - Phone:888-634-6999
Practice Address - Fax:888-634-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 46876101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty