Organization
FRESH START COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESHA JONES (CEO/PRESIDENT)
(757) 202-0295
Entity
Organization
Contact information
Practice address
2470 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 934-3399
(757) 934-3389
Mailing address
127 HIGHFIELD RD, SUFFOLK, VA 23434-9316
(757) 202-0295
(757) 934-3389
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/13/2024
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