Provider Demographics
NPI:1518135524
Name:SET FREE INTERNATIONAL
Entity Type:Organization
Organization Name:SET FREE INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:310-617-2914
Mailing Address - Street 1:1139 E DOMINGUEZ ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3553
Mailing Address - Country:US
Mailing Address - Phone:310-617-2914
Mailing Address - Fax:
Practice Address - Street 1:1139 E DOMINGUEZ ST
Practice Address - Street 2:SUITE D
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3553
Practice Address - Country:US
Practice Address - Phone:310-619-2914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility