| NPI | 1598147266 |
|---|---|
| Doing Business As | START FRESH ALCOHOL RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GRIFFITH F EVANS Medical Director 402-884-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NE 207LPZ900X) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |