Organization
ADDIS CONSULTING INC.
Active
Parent organization
FRESH START COMPREHENSIVE CENTER
Other names
Fresh Start Comprehensive Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESH START COMPREHENSIVE CENTER
Authorized official
DR. ADDISU MENGESHA (CEO/ PRESIDENT)
(301) 704-4001
Entity
Organization
Contact information
Practice address
11 E MOUNT ROYAL AVE, BALTIMORE, MD 21202-2714
(443) 671-1414
(443) 671-1420
Mailing address
1 E MOUNT ROYAL AVE, BALTIMORE, MD 21202-2614
(443) 671-1414
(443) 671-1420
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
D17162
MD
Other
Enumeration date
03/10/2015
Last updated
03/17/2018
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