| Fresh Start Recovery Center Llc | |
|
15886 Gaither Dr Ste B Gaithersburg MD 20877-1404 | |
| (844) 814-6862 | |
| Not Available |
| Full Name | Fresh Start Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15886 Gaither Dr Ste B, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jessie Costley (LICENSING SPECIALIST) |
| Authorized Official Contact | 4108078471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Recovery Center Llc 15886 Gaither Dr Ste B Gaithersburg MD 20877-1404 Ph: (844) 814-6862 | Fresh Start Recovery Center Llc 15886 Gaither Dr Ste B Gaithersburg MD 20877-1404 Ph: (844) 814-6862 |
| NPI Number | 1144809088 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144809088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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