| NPI | 1962802462 |
|---|---|
| Other Name | A FRESH START RECOVERY SERVICES SUD |
| Entity Type | Organization |
| Authorized Contact | MAJA STEELE Owner 208-459-9222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |