Fresh Start Recovery Svcs

LBN: Fresh Start Recovery Svcs
Fresh Start Recovery Svcs is an health care organization with primary practice located at 204 E 17Th St Ste 203 , Costa Mesa CA 92627-7300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Fresh Start Recovery Svcs can be contacted via phone (949) 734-9254, or through Parker, David Wayne via phone (949) 734-9254.

Contact Information

Primary practice address
204 E 17Th St Ste 203 Costa Mesa CA 92627-7300
Phone: (949) 734-9254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, David Wayne LAADC
Phone: (949) 734-9254

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1376326967
LBN Legal business name Fresh Start Recovery Svcs
DBA Doing business as
Authorized official Parker, David Wayne LAADC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2023
Last updated Aug 16th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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