NPI | 1407504749 |
---|---|
Doing Business As | FRESH START FAMILY SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | JOHN BLAYLOCK Owner/Admin 480-431-5075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2022-04-05 |