| NPI | 1477172377 |
|---|---|
| Doing Business As | FRESHSTART INNOVATION CARE |
| Former Legal Business Name | FRESHSTART INNOVATION CARE |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PINLAC Cnp 602-699-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-02-17 |