| NPI | 1003329178 |
|---|---|
| Other Name | FRESH START COMPREHENSIVE CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRI FIELDS Practice Manager 443-884-7521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |