Organization
FRESH START FAMILY SERVICES, LLC
Active
Other names
Fresh Start Family Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BLAYLOCK (OWNER/ADMIN)
(480) 431-5075
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE, PHOENIX, AZ 85029-4726
(602) 825-1225
Mailing address
2432 W PEORIA AVE BLDG 16, PHOENIX, AZ 85029-4726
(602) 825-1225
(602) 314-5887
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
04/05/2022
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