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Contact Information

FRESH START RECOVERY COALITION, INC
214 COMMERCIAL ST
SUITE 104
MALDEN, MA02148-6716
 Phone: 781-388-9300
 Fax: 781-388-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FRESH START RECOVERY COALITION, INC

NPI Number 1225237621
LBN Legal business name FRESH START RECOVERY COALITION, INC
Authorized official DAMION SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2007
Last updated 07/16/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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