FRESH START RECOVERY CENTER LLC NPI 1427400266

NPI Information

NPI: 1427400266
Provider Name: FRESH START RECOVERY CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
25 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064
Phone: (678) 882-0810
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FRESH START RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Marietta, GA. FRESH START RECOVERY CENTER, LLC NPI is 1427400266. The provider is registered as an organization entity type.

The provider's business location address is:

25 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064
Phone: (678) 882-0810

The provider's authorized official is Victor Alfonso .
The authorized official title is Ceo and has the following contact phone number (818) 212-4659.

The enumeration date for this NPI number is 7/5/2016 and was last updated on 5/14/2018.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	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: 4/28/2024

NPI Synchronization or Removal

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