# A FRESH START RECOVERY HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508512245
- **Authorized official:** REEIYAINA GRIFFIN (AGENT)
- **Authorized official phone:** (414) 815-0505

## Contact information

- **Practice address:** 3505 W. NORTH AVENUE, MILWAUKEE, WI 53208
- **Practice address phone:** (414) 600-9947
- **Mailing address:** PO BOX 12773, MILWAUKEE, WI 53212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 02/24/2022