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 |