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Organization
START FRESH ALCOHOL RECOVERY CLINIC, INC
Active
Organization
START FRESH ALCOHOL RECOVERY CLINIC, INC
Active
Other names
Start Fresh Recovery Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE N FALLIERAS M.D. (PRESIDENT)
(702) 919-0000
Entity
Organization
Contact information
Practice address
501 S RANCHO DR STE H50, LAS VEGAS, NV 89106-4828
(702) 919-0000
(702) 476-9411
Mailing address
501 S RANCHO DR STE H50, LAS VEGAS, NV 89106-4828
(702) 919-0000
(702) 476-9411
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
15522
NV
261QR0800X
Recovery Care Clinic/Center
—
NULL
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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