FRESHSTART RECOVERY LLC
Community Based Residential Treatment Facility, Mental Illness

Address: 2914 W Donner Dr, Phoenix, AZ 85041-6343

FRESHSTART RECOVERY LLC (NPI# 1104466697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104466697
Entity Type Organization
Organization Name FRESHSTART RECOVERY LLC
Practice Address 2914 W Donner Dr
Phoenix
AZ 85041-6343
Practice Telephone 4803430086
Mailing Address 28518 N 26th Dr
Phoenix
AZ 85085-3726
Certification Date 2020-01-13
Enumeration Date 2020-01-13
Last Update Date 2020-01-13
Authorized Official Telephone 4803430086
Is Organization Subpart Y
Parent Organization Name FRESHSTART RECOVERY LLC

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1033675608 Freshstart Recovery LLC Community Based Residential Treatment Facility, Mental Illness 2913 W Dunbar Dr, Phoenix, AZ 85041-6353 2019-02-19

Office Location

Street Address 2914 W DONNER DR
City PHOENIX
State AZ
Zip Code 85041-6343

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.