Provider Demographics
NPI:1376894857
Name:FREE N ONE, A DRUG AND ALCOHOL FREE PROGRAM
Entity Type:Organization
Organization Name:FREE N ONE, A DRUG AND ALCOHOL FREE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YOLONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-295-0009
Mailing Address - Street 1:5838 OVERHILL DR
Mailing Address - Street 2:STE. 3
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-2725
Mailing Address - Country:US
Mailing Address - Phone:323-295-0009
Mailing Address - Fax:323-295-0022
Practice Address - Street 1:12501 S WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-1220
Practice Address - Country:US
Practice Address - Phone:323-295-0009
Practice Address - Fax:323-295-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty