Organization
FRESHSTART RECOVERY LLC
Active
Parent organization
FRESHSTART RECOVERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESHSTART RECOVERY LLC
Authorized official
SANOVA DEAR (ADMINISTRATOR)
(480) 343-0086
Entity
Organization
Contact information
Practice address
2914 W DONNER DR, PHOENIX, AZ 85041-6343
(480) 343-0086
Mailing address
28518 N 26TH DR, PHOENIX, AZ 85085-3726
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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