| NPI | 1306299508 |
|---|---|
| Doing Business As | A FRESH START THERAPY |
| Entity Type | Organization |
| Authorized Contact | EBONY N. LEA Chief Executive Officer 855-325-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC LC50080005) |
| Additional Taxonomies | 251S00000X (Licence: MD 16780) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2017-02-06 |