Provider Demographics
NPI:1568814838
Name:LIVING FREE INSTITUTE LLC
Entity Type:Organization
Organization Name:LIVING FREE INSTITUTE LLC
Other - Org Name:LIVE FREE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-336-1739
Mailing Address - Street 1:7705 DAVIE ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2515
Mailing Address - Country:US
Mailing Address - Phone:954-443-5433
Mailing Address - Fax:954-393-5433
Practice Address - Street 1:7705 DAVIE ROAD EXT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2515
Practice Address - Country:US
Practice Address - Phone:954-443-5433
Practice Address - Fax:954-393-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty