Organization
FRESH START SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIRMA ZAID MSW (EXECUTIVE DIR.)
(702) 631-3319
Entity
Organization
Contact information
Practice address
2521 APRICOT LN, LAS VEGAS, NV 89108-3555
(702) 631-3319
(702) 631-0051
Mailing address
PO BOX 570924, LAS VEGAS, NV 89157-0924
(702) 631-3319
(702) 631-0051
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
5095-C
NV
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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