| Organization Name: | LIVING WORD CHRISTIAN CENTER DBA LIVING FREE RECOVERY SERVICES |
| NPI Number: | 1144227430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK BRUCE (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 9201 75th Ave N Brooklyn Park |
| State: | MN US |
| Postal Code: | 554281024 |
| Phone Number: | 7633157000 |
| Fax Number: | 7633157177 |
| NPI Enumeration Date: | 07/01/2005 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 830992-2-CDT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |