institution
Start Fresh Alcohol Recovery Clinic, Inc
Recovery Care Clinic/Center in Las Vegas, Nevada
NPI 1497150007

Start Fresh Alcohol Recovery Clinic, Inc is a Recovery Care Clinic/Center based in Las Vegas, NV and is specialized in Recovery Care. Start Fresh Alcohol Recovery Clinic, Inc practices in Las Vegas, NV. The NPI Number for Start Fresh Alcohol Recovery Clinic, Inc is 1497150007 and holds a License No. 15522 (Nevada).

The current practice location address for Start Fresh Alcohol Recovery Clinic, Inc is 501 S Rancho Dr Ste H50, Las Vegas, NV and can be reached out via phone at 702-919-0000 and via fax at 702-476-9411. You can also correspond with Start Fresh Alcohol Recovery Clinic, Inc through the mailing address at 501 S RANCHO DR STE H50, LAS VEGAS, NV - 89106-4828 (mailing address contact number: 702-919-0000).

Location: 501 S Rancho Dr Ste H50, Las Vegas, NV, 89106-4828
institution
Provider Profile Details
NPI Number
1497150007
Provider Name
Start Fresh Alcohol Recovery Clinic, Inc
Credential
Provider Entity Type
Organization
Address
501 S Rancho Dr Ste H50, Las Vegas, NV, 89106-4828
Phone Number
702-919-0000
Fax Number
702-476-9411
Provider Enumeration Date
10/24/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15522 01 NV STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
501 S Rancho Dr Ste H50
City
State
Zip
89106-4828
Phone Number
702-919-0000
Fax Number
702-476-9411
person
Provider Business Mailing Address Details
Address
501 S Rancho Dr Ste H50
City
State
Zip
89106-4828
Phone Number
702-919-0000
Fax Number
702-476-9411
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
License No.
15522 (Nevada)
Definition
Definition to come...
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