Organization
FRESH OUTLOOK SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARE SHADZEKA PMHNP (PMNHNP)
(202) 285-2822
Entity
Organization
Contact information
Practice address
13810 FRANKS RUN RD, SMITHSBURG, MD 21783-1265
(301) 806-7580
Mailing address
13810 FRANKS RUN RD, SMITHSBURG, MD 21783-1265
(301) 806-7580
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
04/20/2026
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