Organization
START FRESH RECOVERY SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN PEDICINI (CEO)
(847) 630-6200
Entity
Organization
Contact information
Practice address
7150 E CAMELBACK RD, SUITE 444, SCOTTSDALE, AZ 85251-1200
(847) 630-6200
Mailing address
7150 E CAMELBACK RD, SUITE 444, SCOTTSDALE, AZ 85251-1200
(847) 630-6200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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