Organization
FRESHSTART RECOVERY LLC
Active
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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