Organization
FRESH START 4U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA BRUNETTE QMHP (OWNER)
(804) 350-9987
Entity
Organization
Contact information
Practice address
9620 IRON BRIDGE RD STE 201B, CHESTERFIELD, VA 23832-6459
(804) 621-4236
Mailing address
9620 IRON BRIDGE RD STE 201B, CHESTERFIELD, VA 23832-6459
(804) 621-4236
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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