Organization · Type 2 NPI

A Fresh Start Recovery Services

Substance Use Disorder Rehabilitation Clinic/Center · Caldwell, ID

NPI number 1962802462 Active

Practice location

1123 Blaine St
Caldwell, ID 83605-3835

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1962802462

A Fresh Start Recovery Services's National Provider Identifier is 1962802462, issued on Sep 3, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Caldwell, ID. The record was last updated on Sep 3, 2014.