| Fresh Start Center | |
|
15886 Gaither Dr Gaithersburg MD 20877-1404 | |
| (954) 234-2469 | |
| (954) 234-2469 |
| Full Name | Fresh Start Center |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 15886 Gaither Dr, Gaithersburg, Maryland |
| Authorized Official Name and Position | Cathy Picillo (OFFICE MANAGER) |
| Authorized Official Contact | 9542342469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Center 15886 Gaither Dr Gaithersburg MD 20877-1404 Ph: (954) 234-2469 | Fresh Start Center 15886 Gaither Dr Gaithersburg MD 20877-1404 Ph: (954) 234-2469 |
| NPI Number | 1366981672 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366981672 | NPI | - | NPPES |
| D0046457 | Other | FL | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | D0046457 (Maryland) | Primary |
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