Fresh Start Family Services

NPI 1700024106 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1700024106
Enumeration Date 01/23/2009
Last Updated 01/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KELLY PATRICE KELLY
Position EXECUTIVE DIRECTOR
Phone (702) 326-9779
Fax (702) 586-3162
Practice Location
9847 MOUNT MADERA ST
LAS VEGAS NV, 89178-7518, US
Phone (702) 326-9779
Fax (702) 586-3162
Business Location
9847 MOUNT MADERA ST
LAS VEGAS NV, 89178-7518, US
Phone (702) 326-9779
Fax (702) 586-3162
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1700024106 NPI Number
 

According to our database, Fresh Start Family Services NPI is 1700024106, taxonomy code is 251S00000X Fresh Start Family Services physically located at 9847 Mount Madera St, Las Vegas NV, 89178-7518. NPI Number 1033115704 has the healthcare provider type.

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1700024106 NPI number is provided on an as is basis without warranty of any kind. 1700024106 is maintained by the National Plan & Provider Enumeration System. The contents of Fresh Start Family Services are for informational purposes only.