START FRESH CENTRAL VALLEY RECOVERY NPI 1164830501

NPI Information

START FRESH CENTRAL VALLEY RECOVERY is an addiction medicine psychiatry neurology in Fresno, CA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine START FRESH CENTRAL VALLEY RECOVERY NPI is 1164830501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6073 N 1ST ST STE 102
FRESNO, CA
ZIP 93710-444
Phone: (559) 202-3830

The provider's authorized official is Robert Graham .
The authorized official title is Supervising Physician and has the following contact phone number (559) 202-3830.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/29/2014.

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:

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