FRESH START RECOVERY CENTER, LLC – NPI #1427400266
Clinic/Center

FRESH START RECOVERY CENTER, LLC is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1427400266 to FRESH START RECOVERY CENTER, LLC on July 05, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 8 years ago on May 14, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRESH START RECOVERY CENTER, LLC below.

NPI Profile for
FRESH START RECOVERY CENTER, LLC

NPI Number
1427400266
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRESH START RECOVERY CENTER, LLC
Primary location
25 WHITLOCK PL SW STE 101
MARIETTA, GA 30064
Phone: (678) 882-0810 Fax:
Mailing address
1290 KENNESTONE CIR STE A112
MARIETTA, GA 30066-6010
Phone: Fax:
Organization Subpart
No
Authorized Official
VICTOR ALFONSO
CEO
Phone: (818) 212-4659
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)
261QM0850X
- Clinic/Center / Adult Mental Health
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.