| NPI | 1124557871 |
|---|---|
| Doing Business As | FRESH START COMPREHENSIVE CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRI FIELDS Practice Administrator 443-884-7521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-03-17 |