Organization
FRESH START BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED BAH (OWNER)
(713) 748-5086
Entity
Organization
Contact information
Practice address
601 W 1ST AVE, SPOKANE, WA 99201-3825
(509) 418-5216
Mailing address
3744 ARMAND DR, DICKINSON, TX 77539-4461
(509) 418-5216
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
02/14/2024
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