| NPI | 1497150007 |
|---|---|
| Doing Business As | START FRESH RECOVERY LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | GEORGE N FALLIERAS President 702-919-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NV 15522) |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |