| NPI | 1902205222 |
|---|---|
| Doing Business As | FRESH START |
| Entity Type | Organization |
| Authorized Contact | CHERYL L BAIRD Therapist 630-234-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 178-000264) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |