A Fresh Start Llc

LBN: A Fresh Start Llc
A Fresh Start Llc is an health care organization with primary practice located at 30 Hazel Ter Ste K , Woodbridge CT 06525-2240. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. A Fresh Start Llc can be contacted via phone (203) 572-1236, or through Moore, Robert via phone (203) 645-3071.

Contact Information

Primary practice address
30 Hazel Ter Ste K Woodbridge CT 06525-2240
Phone: (203) 572-1236
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Robert
Phone: (203) 645-3071

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033685961
LBN Legal business name A Fresh Start Llc
DBA Doing business as
Authorized official Moore, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2018
Last updated Oct 18th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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