National Provider Identifier Database

A FRESH START RECOVERY SERVICES
Rehabilitation, Substance Use Disorder


Contact Information

A FRESH START RECOVERY SERVICES
1123 BLAINE ST
CALDWELL, ID83605-3835
Phone: 208-459-9222
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for A FRESH START RECOVERY SERVICES

NPI Number 1962802462
Legal business name
LBN
A FRESH START RECOVERY SERVICES
Authorized official MAJA STEELE - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/03/2014
Last updated 09/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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