| Fresh Start | |
|
5452b N Highway 501 Marion SC 29571-6095 | |
| (843) 431-9225 | |
| (843) 431-9203 |
| Full Name | Fresh Start |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 5452b N Highway 501, Marion, South Carolina |
| Authorized Official Name and Position | William T. O'connor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8434239292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Po Box 1011 Marion SC 29571-1011 Ph: (843) 431-9225 | Fresh Start 5452b N Highway 501 Marion SC 29571-6095 Ph: (843) 431-9225 |
| NPI Number | 1528121894 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528121894 | NPI | - | NPPES |
| AD20MD | Medicaid | SC |
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