| Fresh Start Foundation Llc | |
|
1771 E Flamingo Rd Ste 112b Las Vegas NV 89119-0851 | |
| (702) 504-3767 | |
| Not Available |
| Full Name | Fresh Start Foundation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1771 E Flamingo Rd Ste 112b, Las Vegas, Nevada |
| Authorized Official Name and Position | Jonisha Washington (OWNER) |
| Authorized Official Contact | 7025043767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Foundation Llc 1771 E Flamingo Rd Ste 112b Las Vegas NV 89119-0851 Ph: (702) 504-3767 | Fresh Start Foundation Llc 1771 E Flamingo Rd Ste 112b Las Vegas NV 89119-0851 Ph: (702) 504-3767 |
| NPI Number | 1003706441 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Certification Date | 06/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003706441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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