FRESH START INC. NPI 1477623981

NPI Information

FRESH START, INC. is a substance abuse rehabilitation facility in Cleveland, OH. 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, INC. NPI is 1477623981. The provider is registered as an organization entity type.

The provider's business location address is:

4807 CEDAR AVE
CLEVELAND, OH
ZIP 44103-437
Phone: (216) 431-4979
Fax: (216) 431-5793

The provider's authorized official is Ruby J Black .
The authorized official title is Chief Operating Officer and has the following contact phone number (216) 431-2554.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.

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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