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Organization
START FRESH ALCOHOL RECOVERY CLINIC
Active
Organization
START FRESH ALCOHOL RECOVERY CLINIC
Active
Other names
Fresh Start Private
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NICHOLAS FALLIERAS M.D. (MEDICAL DIRECTOR)
(714) 541-6100
Entity
Organization
Contact information
Practice address
720 NORTH TUSTIN AVE , SUIT #206, SANTA ANA, CA 92705-3606
(714) 541-6100
(714) 541-9002
Mailing address
720 NORTH TUSTIN AVE , SUIT #206, SANTA ANA, CA 92705-3606
(714) 541-6100
(714) 541-9002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/08/2010
Last updated
11/15/2013
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