NPI 1396409496

Freedom Source INC

Organisation Prevention Professional Birmingham, AL

Practice location

Address: 105 Vulcan Rd STE 332, Birmingham, AL 35209-4701
Phone: (205) 972-8264

Authorised official

Name: Ashley Brook Loftis
Title: Prevention Navigator
Phone: (205) 972-8264

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1396409496
Entity type: Organization
NPI issued: 25 Oct 2021
Record last updated: 29 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.