| Fresh Start Comprehensive Center | |
|
8492 Baltimore National Pike Ellicott City MD 21043-3370 | |
| (443) 671-1414 | |
| (443) 671-1420 |
| Full Name | Fresh Start Comprehensive Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 8492 Baltimore National Pike, Ellicott City, Maryland |
| Authorized Official Name and Position | Terri Fields (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4438847521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Comprehensive Center 11 E Mount Royal Ave Ste Ll Baltimore MD 21202-2714 Ph: () - | Fresh Start Comprehensive Center 8492 Baltimore National Pike Ellicott City MD 21043-3370 Ph: (443) 671-1414 |
| NPI Number | 1124557871 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124557871 | NPI | - | NPPES |
| 424075801 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Cecilia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 443-929-1462 | |
Graceway Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10259 Cabery Rd, Ellicott City, MD 21042 Phone: 667-300-8222 | |
Jeffrey R. Kaplan M.d. Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5116 Dorsey Hall Dr Ste A, Ellicott City, MD 21042 Phone: 410-964-9300 Fax: 410-964-9822 | |
Ellicott City Primary Care Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10298b Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-1091 Fax: 410-465-8129 | |
Integrative Health Practices, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9501 Old Annapolis Rd Ste 205, Ellicott City, MD 21042 Phone: 410-715-5256 | |
Pp And M Ventures Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 410-701-8485 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9055 Chevrolet Dr Ste 100, Ellicott City, MD 21042 Phone: 410-465-5454 |