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Organization
FRESH START PRIVATE MIDWEST LLC
Active
Organization
FRESH START PRIVATE MIDWEST LLC
Active
Other names
Start Fresh Alcohol Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRIFFITH F EVANS M.D. (MEDICAL DIRECTOR)
(402) 884-1221
Entity
Organization
Contact information
Practice address
2827 S 88TH ST, OMAHA, NE 68124-3056
(402) 884-1221
(402) 884-1335
Mailing address
2827 S 88TH ST, OMAHA, NE 68124-3056
(402) 884-1221
(402) 884-1335
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
207LPZ900X
NE
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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