NPI:
1962802462
Provider Name:
A FRESH START RECOVERY SERVICES
Other Name: A FRESH START RECOVERY SERVICES SUD
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1123 BLAINE ST
CALDWELL, ID
ZIP 83605
Phone:
(208) 459-9222
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A FRESH START RECOVERY SERVICES is a rehabilitation and substance use disorder clinic center in Caldwell, ID. A FRESH START RECOVERY SERVICES NPI is 1962802462. The provider is registered as an organization entity type.
The provider Other Name Is A Fresh Start Recovery Services Sud.
The provider's business location address is:
1123 BLAINE ST
CALDWELL, ID
ZIP 83605-835
Phone: (208) 459-9222
The provider's authorized official is Maja Steele .
The authorized official title is Owner and has the following contact phone number (208) 459-9222.
The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.