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Organization

FRESH START BEHAVORAL AND RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOHAMED BAH PMHNP-BC (OWNER)
(314) 285-9134
Entity
Organization

Contact information

Practice address
3744 ARMAND DR, DICKINSON, TX 77539-4461
(314) 285-9134
Mailing address
3744 ARMAND DR, DICKINSON, TX 77539-4461
(314) 285-9134

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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