| Start Fresh Foundation Inc | |
|
135 N Moon Ave Brandon FL 33510-4419 | |
| (813) 489-4546 | |
| (813) 381-5140 |
| Full Name | Start Fresh Foundation Inc |
|---|---|
| Speciality | Case Management |
| Location | 135 N Moon Ave, Brandon, Florida |
| Authorized Official Name and Position | Casandra Merritt (CEO) |
| Authorized Official Contact | 8139572239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Fresh Foundation Inc 135 N Moon Ave Brandon FL 33510-4419 Ph: (813) 489-4546 | Start Fresh Foundation Inc 135 N Moon Ave Brandon FL 33510-4419 Ph: (813) 489-4546 |
| NPI Number | 1609402437 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609402437 | NPI | - | NPPES |
| CBHCMS100611 | Other | FL | FLORIDA CERTIFICATION BOARD |
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