Organization
FRESH START LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADINE YANANEY (OWNER)
(301) 573-9350
Entity
Organization
Contact information
Practice address
1908 N WASHINGTON ST, BALTIMORE, MD 21213-1410
(301) 573-9350
Mailing address
6364 BAYBERRY CT, ELKRIDGE, MD 21075-6922
(301) 573-9350
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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