OrganizationActive
Breaking Free Inc.
NPI 1477919405 · Mental Health Clinic/Center (Including Community Mental Health Center) · Aurora, IL
Provider details
- NPI number
- 1477919405
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dimitrius Mayo, Manager, Revenue Cycle(630) 572-0556
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Gale St
Aurora, IL 60506-5084
Phone: (630) 897-1003
Fax: (630) 897-1042
Street-level locationGet directions
Mailing address
120 Gale Street
Aurora, IL 60506-5084
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2017-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.