| Fresh Start Behavioral Services | |
|
8841 S Redwood Rd Ste D1 West Jordan UT 84088-9290 | |
| (801) 566-2468 | |
| (855) 787-6818 |
| Full Name | Fresh Start Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8841 S Redwood Rd Ste D1, West Jordan, Utah |
| Authorized Official Name and Position | Lane Cannon Porter (DIRECTOR) |
| Authorized Official Contact | 8015662468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Behavioral Services 8841 S Redwood Rd Ste D1 West Jordan UT 84088-9290 Ph: (801) 566-2468 | Fresh Start Behavioral Services 8841 S Redwood Rd Ste D1 West Jordan UT 84088-9290 Ph: (801) 566-2468 |
| NPI Number | 1346679396 |
|---|---|
| Provider Enumeration Date | 11/09/2013 |
| Last Update Date | 11/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346679396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2885 (* (Not Available)) | Primary |
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