Fresh Start Recovery Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Gaithersburg, MD. Organization (NPI-2).
NPI number1144809088
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1144809088
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresh Start Recovery Center LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 7, 2021
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
15886 Gaither Dr Ste BGaithersburg, MD 20877-1404
Phone 844-814-6862
Mailing address
15886 Gaither Dr Ste BGaithersburg, MD 20877-1404
Phone 844-814-6862
Authorized official
Jessie Costley
Licensing Specialist
4108078471
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All 34 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Gaithersburg · All 3,595 providers in Gaithersburg
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