FRESH START BEHAVIORAL HEALTH INC NPI 1093350951

NPI Information

  • NPI: 1093350951
  • Provider Name: FRESH START BEHAVIORAL HEALTH INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 36D2308442
  • Address: 6929 N MAIN ST
    DAYTON, OH
    ZIP 45415
  • Phone: (614) 364-0429

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NPI Details

FRESH START BEHAVIORAL HEALTH INC is a mental health (including community mental health center) clinic center in Dayton, OH. FRESH START BEHAVIORAL HEALTH INC NPI is 1093350951. The provider is registered as an organization entity type.

The provider's business location address is:

6929 N MAIN ST
DAYTON, OH
ZIP 45415-563
Phone: (614) 364-0429

The provider's authorized official is Ebenezer Aluma .
The authorized official title is Agent and has the following contact phone number (614) 364-0429.

The CLIA number assigned to this NPI record is 36D2308442 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 6/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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