Organization · Type 2 NPI
Fresh Start Recovery Group LLC
Addiction Medicine (Family Medicine) Physician · Fort Wayne, IN
NPI number
1023724861
Active
Practice location
3464 Stellhorn Rd
Fort Wayne, IN 46815-4630
Mailing address
11788 Whistling Trl
Fort Wayne, IN 46818-0144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
Other addiction medicine (family medicine) physician providers in Fort Wayne
About NPI 1023724861
Fresh Start Recovery Group LLC's National Provider Identifier is 1023724861, issued on Jan 25, 2023. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 25, 2023.