Organization
FRESH START RECOVERY COALITION, INC
Active
Other names
INDIGO BEHAVIORAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DAMION P SMITH (PRESIDENT)
(781) 388-9300
Entity
Organization
Contact information
Practice address
214 COMMERCIAL ST, SUITE 104, MALDEN, MA 02148-6716
(781) 388-9300
(781) 388-9325
Mailing address
214 COMMERCIAL ST, SUITE 104, MALDEN, MA 02148-6716
(781) 388-9300
(781) 388-9325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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