Organization
FRESH START COUNSELING CENTER
Active
Other names
Sacred Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE REED (OWNER)
(414) 351-1100
Entity
Organization
Contact information
Practice address
1720 W FLORIST AVE, SUITE 200, GLENDALE, WI 53209-3800
(414) 351-1100
(414) 351-0436
Mailing address
1720 W FLORIST AVE, SUITE 200, GLENDALE, WI 53209-3800
(414) 351-1100
(414) 351-0436
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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