Organization
FRESH START BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER ALUMA (AGENT)
(614) 364-0429
Entity
Organization
Contact information
Practice address
6929 N MAIN ST, DAYTON, OH 45415-2563
(614) 364-0429
Mailing address
6929 N MAIN ST, DAYTON, OH 45415-2563
(614) 364-0429
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
06/27/2025
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