Organization
FRESH START RESCOURCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PLEASANT (MANAGING MEMBER)
(702) 406-4466
Entity
Organization
Contact information
Practice address
840 E MCKELLIPS RD STE 109, MESA, AZ 85203-9654
(310) 493-1517
Mailing address
840 E MCKELLIPS RD STE 109, MESA, AZ 85203-9654
(310) 493-1517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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