Organization
START FRESH ALCOHOL RECOVERY CLINIC
Active
Other names
Fresh Start Private
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NICHOLAS FALLIERAS M.D. (MEDICAL DIRECTOR)
(714) 541-6100
Entity
Organization
Contact information
Practice address
720 NORTH TUSTIN AVE , SUIT #206, SANTA ANA, CA 92705-3606
(714) 541-6100
(714) 541-9002
Mailing address
720 NORTH TUSTIN AVE , SUIT #206, SANTA ANA, CA 92705-3606
(714) 541-6100
(714) 541-9002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
11/15/2013
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