NPI | 1780395277 |
---|---|
Other Name | FRESH START |
Entity Type | Organization |
Authorized Contact | WEBB LUCAS Executive Director 734-929-9992 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2024-09-23 |