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FRESH START RECOVERY COALITION INC NPI 1225237621


NPI Information

NPI: 1225237621
Provider Name: FRESH START RECOVERY COALITION, INC

Doing Business As: INDIGO BEHAVIORAL HEALTH SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
214 COMMERCIAL ST
SUITE 104
MALDEN, MA
ZIP 02148
Phone: (781) 388-9300
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FRESH START RECOVERY COALITION, INC is a community behavioral health in Malden, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FRESH START RECOVERY COALITION, INC NPI is 1225237621. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Indigo Behavioral Health Services.

The provider's business location address is:

214 COMMERCIAL ST
SUITE 104
MALDEN, MA
ZIP 02148-716
Phone: (781) 388-9300
Fax: (781) 388-9325

The provider's authorized official is Damion P Smith .
The authorized official title is President and has the following contact phone number (781) 388-9300.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 7/16/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3251S00000XCommunity/Behavioral HealthYes

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: 4/28/2024

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