Organization · Type 2 NPI

Fresh Start Community Services LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Suffolk, VA

NPI number 1386474997 Active

Practice location

2470 Pruden Blvd
Suffolk, VA 23434-4206

Fax (757) 934-3389

Mailing address

127 Highfield Rd
Suffolk, VA 23434-9316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1386474997

Fresh Start Community Services LLC's National Provider Identifier is 1386474997, issued on Aug 7, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Suffolk, VA. The record was last updated on Aug 13, 2024.