Indigo Behavioral Health Services
LBN: Fresh Start Recovery Coalition, Inc
Indigo Behavioral Health Services is an health care organization with primary practice located at 214 Commercial St Suite 104, Malden MA 02148-6716. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Fresh Start Recovery Coalition, Inc can be contacted via phone (781) 388-9300, or through Smith, Damion P via phone (781) 388-9300.
Contact Information
Primary practice address
214 Commercial St Suite 104
Malden MA 02148-6716
Phone: (781) 388-9300
Fax: (781) 388-9325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
NPI number | 1225237621 |
---|---|
LBN Legal business name | Fresh Start Recovery Coalition, Inc |
DBA Doing business as | Indigo Behavioral Health Services |
Authorized official | Smith, Damion P |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 16th, 2007 |
Last updated | Jul 16th, 2007 - about 18 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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