NPI: 1407504749
Provider Name: FRESH START FAMILY SERVICES, LLC
Doing Business As: FRESH START FAMILY SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
2432 W PEORIA AVE
PHOENIX, AZ
ZIP 85029
Phone: (602) 825-1225
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FRESH START FAMILY SERVICES, LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. FRESH START FAMILY SERVICES, LLC NPI is 1407504749. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Start Family Services, Llc.
The provider's business location address is:
2432 W PEORIA AVE
PHOENIX, AZ
ZIP 85029-726
Phone: (602) 825-1225
The provider's authorized official is John Blaylock .
The authorized official title is Owner/admin and has the following contact phone number (480) 431-5075.
The enumeration date for this NPI number is 3/15/2022 and was last updated on 4/5/2022.