FRESH START COMMUNITY SERVICES NPI 1275768947

NPI Information

  • NPI: 1275768947
  • Provider Name: FRESH START COMMUNITY SERVICES
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: FRESH START COMMUNITY SERVICES
  • Address: 7206 N 55TH AVE
    SUITE 101
    GLENDALE, AZ
    ZIP 85301
  • Phone: (623) 206-6825

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NPI Details

FRESH START COMMUNITY SERVICES is a substance abuse rehabilitation facility in Glendale, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FRESH START COMMUNITY SERVICES NPI is 1275768947. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Start Community Services.

The provider's business location address is:

7206 N 55TH AVE
SUITE 101
GLENDALE, AZ
ZIP 85301-975
Phone: (623) 206-6825
Fax: (623) 206-6825

The provider's authorized official is Bruce Relf .
The authorized official title is Ceo and has the following contact phone number (623) 206-6825.

The enumeration date for this NPI number is 5/23/2009 and was last updated on 5/23/2009.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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