| Operation Fresh Start | |
|
1925 Winnebago St Madison WI 53704-5314 | |
| (608) 244-4721 | |
| (608) 244-8162 |
| Full Name | Operation Fresh Start |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1925 Winnebago St, Madison, Wisconsin |
| Authorized Official Name and Position | Jim Sanders (DEPUTY DIRECTOR) |
| Authorized Official Contact | 6082444721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Fresh Start 1925 Winnebago St Madison WI 53704-5314 Ph: (608) 244-4721 | Operation Fresh Start 1925 Winnebago St Madison WI 53704-5314 Ph: (608) 244-4721 |
| NPI Number | 1841466208 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841466208 | NPI | - | NPPES |
| 41868000 | Other | WI | MEDICARE PROVIDER CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 70968030 (Wisconsin) | Primary |
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