NPI | 1518406818 |
---|---|
Doing Business As | FRESH START |
Entity Type | Organization |
Authorized Contact | BRETT L MATHERNE CEO/Clinical Director 985-223-4009 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: LA 2203782532) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-02-20 |