| NPI | 1083371504 |
|---|---|
| Doing Business As | FRESH START TREATMENT FACILITY |
| Entity Type | Organization |
| Authorized Contact | CARLOS DARDEN Owner 317-653-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2023-06-08 |