Provider Demographics
NPI:1235988437
Name:TOGETHER AND FREE LLC
Entity type:Organization
Organization Name:TOGETHER AND FREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER-KOGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-229-2987
Mailing Address - Street 1:43250 W MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-8248
Mailing Address - Country:US
Mailing Address - Phone:323-229-2987
Mailing Address - Fax:
Practice Address - Street 1:19503 N SANDALWOOD DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-3258
Practice Address - Country:US
Practice Address - Phone:323-229-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness