Organization
FRESH START VEGAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSI POOLE (OWNER)
(702) 849-0460
Entity
Organization
Contact information
Practice address
400 S 4TH ST STE 500, LAS VEGAS, NV 89101-6207
(702) 849-0460
(702) 920-7648
Mailing address
400 S 4TH ST STE 500, LAS VEGAS, NV 89101-6207
(702) 849-0460
(702) 920-7648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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