Organization
FRESHSTARTS BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR HOLCOMB (MANAGER)
(305) 279-2286
Entity
Organization
Contact information
Practice address
9360 SW 72ND ST STE 230, MIAMI, FL 33173-3273
(305) 279-2286
(305) 279-2287
Mailing address
9360 SW 72ND ST STE 230, MIAMI, FL 33173-3273
(305) 279-2286
(305) 279-2287
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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