Provider Demographics
NPI:1134661127
Name:NEW FREEDOM INC
Entity Type:Organization
Organization Name:NEW FREEDOM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MINX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-486-7517
Mailing Address - Street 1:1101 5TH ST N
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1459
Mailing Address - Country:US
Mailing Address - Phone:763-486-7517
Mailing Address - Fax:
Practice Address - Street 1:1101 5TH ST N
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MN
Practice Address - Zip Code:55371-1459
Practice Address - Country:US
Practice Address - Phone:763-486-7517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1082873324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility