Fresh Start Recovery Center Llc

LBN: Fresh Start Recovery Center Llc
Fresh Start Recovery Center Llc is an health care organization with primary practice located at 15886 Gaither Dr Suite B, Gaithersburg MD 20877-1404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Fresh Start Recovery Center Llc can be contacted via phone (301) 300-3696, or through Costley, Jessie via phone (443) 839-6928.

Contact Information

Primary practice address
15886 Gaither Dr Suite B Gaithersburg MD 20877-1404
Phone: (301) 300-3696
Fax: (954) 298-4039
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jessie
Phone: (443) 839-6928

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X D0046457 Maryland

Profile Details

NPI number 1295272482
LBN Legal business name Fresh Start Recovery Center Llc
DBA Doing business as
Authorized official Costley, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2017
Last updated Apr 7th, 2021 - about 4 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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