# START FRESH ALCOHOL RECOVERY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Start Private
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902113244
- **Authorized official:** DR. GEORGE NICHOLAS FALLIERAS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 541-6100

## Contact information

- **Practice address:** 720 NORTH TUSTIN AVE , SUIT \#206, SANTA ANA, CA 92705-3606
- **Practice address phone:** (714) 541-6100
- **Practice address fax:** (714) 541-9002
- **Mailing address:** 720 NORTH TUSTIN AVE , SUIT \#206, SANTA ANA, CA 92705-3606
- **Mailing address phone:** (714) 541-6100
- **Mailing address fax:** (714) 541-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 11/15/2013