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 25 Whitlock Pl Sw Ste 101 , Marietta GA 30064. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Fresh Start Recovery Center, Llc can be contacted via phone (678) 882-0810, or through Alfonso, Victor via phone (818) 212-4659.

Contact Information

Primary practice address
25 Whitlock Pl Sw Ste 101 Marietta GA 30064
Phone: (678) 882-0810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Victor
Phone: (818) 212-4659

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1427400266
LBN Legal business name Fresh Start Recovery Center, Llc
DBA Doing business as
Authorized official Alfonso, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2016
Last updated May 14th, 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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