Fresh Beginnings

NPI 1730404112 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1730404112
Enumeration Date 03/29/2010
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name VALERIE ELAINE VALERIE
Position DIRECTOR/CEO
Phone (209) 830-7400
Fax (209) 833-8386
Practice Location
72 W 11TH ST
SUITE A
TRACY CA, 95376-3906, US
Phone (209) 830-7400
Fax (209) 833-8386
Business Location
1852 W 11TH ST
TRACY CA, 95376-3736, US
Phone (209) 830-7400
Fax (209) 833-8386
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number 390031AN
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According to our database, Fresh Beginnings NPI is 1730404112, taxonomy code is 251S00000X and license number is 390031AN, license state is located at California. Fresh Beginnings physically located at 72 W 11th St, Tracy CA, 95376-3906. NPI Number 1033115704 has the healthcare provider type.

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1730404112 NPI number is provided on an as is basis without warranty of any kind. 1730404112 is maintained by the National Plan & Provider Enumeration System. The contents of Fresh Beginnings are for informational purposes only.