| Fresh Start Comprehensive Center | |
|
11 E Mount Royal Ave # Ll Baltimore MD 21202-2714 | |
| (443) 671-1414 | |
| (443) 671-1420 |
| Full Name | Fresh Start Comprehensive Center |
|---|---|
| Speciality | Clinic/center |
| Location | 11 E Mount Royal Ave # Ll, Baltimore, Maryland |
| Authorized Official Name and Position | Terri Fields (PRACTICE MANAGER) |
| Authorized Official Contact | 4438847521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Comprehensive Center 11 E Mount Royal Ave # Ll Baltimore MD 21202-2714 Ph: (443) 671-1414 | Fresh Start Comprehensive Center 11 E Mount Royal Ave # Ll Baltimore MD 21202-2714 Ph: (443) 671-1414 |
| NPI Number | 1003329178 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003329178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
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