Fresh Start Recovery Services

LBN: Fresh Start Recovery Services
Fresh Start Recovery Services is an health care organization with primary practice located at 2790 Harbor Blvd Suite #307, Costa Mesa CA 92626-5154. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Fresh Start Recovery Services can be contacted via phone (949) 200-2341, or through Parker, David Wayne via phone (949) 200-2341.

Contact Information

Primary practice address
2790 Harbor Blvd Suite #307 Costa Mesa CA 92626-5154
Phone: (949) 200-2341
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, David Wayne LAADC, ICADC
Phone: (949) 200-2341

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X California

Profile Details

NPI number 1396161337
LBN Legal business name Fresh Start Recovery Services
DBA Doing business as
Authorized official Parker, David Wayne LAADC, ICADC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2014
Last updated Mar 14th, 2014 - about 10 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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