| NPI | 1366981672 |
|---|---|
| Doing Business As | FRESH START CENTER |
| Entity Type | Organization |
| Authorized Contact | CATHY PICILLO Office Manager 954-234-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MD D0046457) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |