| Fresh Beginnings | |
|
72 W 11th St Suite A Tracy CA 95376-3906 | |
| (209) 830-7400 | |
| (209) 833-8386 |
| Full Name | Fresh Beginnings |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 72 W 11th St, Tracy, California |
| Authorized Official Name and Position | Valerie Elaine Sims (DIRECTOR/CEO) |
| Authorized Official Contact | 2098307400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Beginnings 1852 W 11th St Tracy CA 95376-3736 Ph: (209) 830-7400 | Fresh Beginnings 72 W 11th St Suite A Tracy CA 95376-3906 Ph: (209) 830-7400 |
| NPI Number | 1730404112 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730404112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 390031AN (California) | Primary |
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