| Start Fresh Central Valley Recovery | |
|
6073 N 1st St Ste 102 Fresno CA 93710-5444 | |
| (559) 202-3830 | |
| Not Available |
| Full Name | Start Fresh Central Valley Recovery |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 6073 N 1st St Ste 102, Fresno, California |
| Authorized Official Name and Position | Robert Graham (SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 5592023830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Fresh Central Valley Recovery Po Box 25042 Fresno CA 93729-5042 Ph: (559) 438-1245 | Start Fresh Central Valley Recovery 6073 N 1st St Ste 102 Fresno CA 93710-5444 Ph: (559) 202-3830 |
| NPI Number | 1164830501 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164830501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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