| NPI | 1194295881 |
|---|---|
| Doing Business As | A CLEAN START URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | ANIKKA STOKES CEO 443-516-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 164W00000X Licensed Practical Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-01-10 |