Organization
FRESH BEGINNINGS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CAMPBELL MS (THERAPIST)
(480) 490-7462
Entity
Organization
Contact information
Practice address
4626 W VALENCIA DR, LAVEEN, AZ 85339-2365
(602) 237-5208
Mailing address
4626 W VALENCIA DR, LAVEEN, AZ 85339-2365
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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