Fresh Start Recovery Lab
NPI #1184158826 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1184158826
- Entity Type
- Organization
- Organization Name
- Fresh Start Recovery Lab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESH START RECOVERY CENTER
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 15886 GAITHER DR
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20877-1404
- Phone
- (954) 234-2469
Authorized Official
- Name
- CATHY PICILLO
- Title
- OFFICE MANAGER
- Phone
- (954) 234-2469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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