NPI | 1427441880 |
---|---|
Doing Business As | FRESH START COMPREHENSIVE CENTER |
Entity Type | Organization |
Authorized Contact | ADDISU MENGESHA CEO/ President 301-704-4001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD D17162) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2018-03-17 |