Fresh Start Therapeutic Services, LLC

NPI #1437767852 in Joppa, Maryland

Provider Information

NPI Number: 1437767852
Entity Type: Organization
Organization Name: Fresh Start Therapeutic Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 626 TOWNE CENTER DR STE 204
City: Joppa
State: Maryland
ZIP Code: 21085-4451
Phone: (443) 313-3240

Authorized Official

Name: MRS. TEKORA NICHOLS, LCSW-C
Title: REHABILITATION SPECIALIST
Phone: (240) 370-9479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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