Organization
FRESH START BEHAVIORAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA HOLLAND (CEO)
(630) 965-3229
Entity
Organization
Contact information
Practice address
4667 S LAKESHORE DR STE 5, TEMPE, AZ 85282-7293
(630) 965-3229
Mailing address
4667 S LAKESHORE DR STE 5, TEMPE, AZ 85282-7293
(630) 965-3229
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
06/08/2023
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