Fresh Start Community Health Center LLC
NPI #1689182792 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1689182792
- Entity Type
- Organization
- Organization Name
- Fresh Start Community Health Center LLC
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- Jan 11, 2018
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 351 W 79TH ST
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106
- Phone
- (318) 688-8190
Authorized Official
- Name
- KEESHA S DINKINS
- Title
- BUSINESS MANAGER
- Phone
- (318) 688-8190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Recovery Care — Recovery Care |
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