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Organization

FRESH START RECOVERY CENTER LLC

Active
Parent organization
FRESH START RECOVERY CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRESH START RECOVERY CENTER LLC
Authorized official
JESSIE COSTLEY (LICENSING SPECIALIST)
(410) 807-8471
Entity
Organization

Contact information

Practice address
15886 GAITHER DR STE B, GAITHERSBURG, MD 20877-1404
(844) 814-6862
Mailing address
15886 GAITHER DR STE B, GAITHERSBURG, MD 20877-1404
(844) 814-6862

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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