Fresh Start Behavioral Services
NPI #1346679396 in West Jordan, Utah
Provider Information
- NPI Number
- 1346679396
- Entity Type
- Organization
- Organization Name
- Fresh Start Behavioral Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 9, 2013
- Last Updated
- Nov 9, 2013
Practice Location
- Address
- 8841 S REDWOOD RD STE D1
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9290
- Phone
- (801) 566-2468
Authorized Official
- Name
- LANE CANNON PORTER, CMHC
- Title
- DIRECTOR
- Phone
- (801) 566-2468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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