Organization · Type 2 NPI
Fresh Start Services LLC
Mental Illness Community Based Residential Treatment Facility · Las Vegas, NV
NPI number
1235376526
Active
Practice location
2521 Apricot Ln
Las Vegas, NV 89108-3555
Fax (702) 631-0051
Mailing address
PO Box 570924
Las Vegas, NV 89157-0924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 5095-C (NV) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1235376526
Fresh Start Services LLC's National Provider Identifier is 1235376526, issued on Jan 8, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 8, 2009.