Organization · Type 2 NPI

A Fresh Start and New Beginnings

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Glendale, AZ

NPI number 1316237076 Active

Practice location

4105 W Villa Linda Dr
Glendale, AZ 85310-5157

Call (623) 434-2126 Map

Fax (623) 434-1494

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XBH3871 (AZ)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1316237076

A Fresh Start and New Beginnings's National Provider Identifier is 1316237076, issued on Apr 15, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 1, 2011.