Organization
FRESH START, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUBY J BLACK M.ED. (CHIEF OPERATING OFFICER)
(216) 431-2554
Entity
Organization
Contact information
Practice address
4807 CEDAR AVE, CLEVELAND, OH 44103-4437
(216) 431-4979
(216) 431-5793
Mailing address
2415 E 55TH ST, CLEVELAND, OH 44104-1501
(216) 431-2554
(216) 431-4878
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
06955
OH
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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