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Organization

FRESH START DEVELOPMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA NICOLE HENDRIX (PRESIDENT)
(702) 501-9990
Entity
Organization

Contact information

Practice address
2305 SILVEREYE DR, NORTH LAS VEGAS, NV 89084-2262
(702) 501-9990
Mailing address
2305 SILVEREYE DR, NORTH LAS VEGAS, NV 89084-2262
(702) 501-9990

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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