Provider Demographics
NPI:1770060600
Name:THE FREEDOM CENTER, LLC
Entity type:Organization
Organization Name:THE FREEDOM CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KESARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-665-3826
Mailing Address - Street 1:202 PERRY PKWY STE 5
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2172
Mailing Address - Country:US
Mailing Address - Phone:240-720-3103
Mailing Address - Fax:240-306-1471
Practice Address - Street 1:202 PERRY PKWY STE 5
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2172
Practice Address - Country:US
Practice Address - Phone:240-720-3103
Practice Address - Fax:240-306-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility