Fresh Start Outreach
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · South Chesterfield, VA
NPI 1356104145 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1356104145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- FRESH START OUTREACH
- Practice address
- 1830 Ruffin Mill Cir Ste B
South Chesterfield, VA 23834-5927 - Phone
- (804) 380-0181
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Melton Freshwater
- Title
- Owner
- Phone
- (804) 380-0181
National Provider Directory
Locations
1830 Ruffin Mill Cir
Ste B
South Chesterfield, VA 23834
Phone (804) 380-0181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
1830 Ruffin Mill Cir Ste B
South Chesterfield, VA 23834-5927
Mailing address
1830 Ruffin Mill Cir Ste B
South Chesterfield, VA 23834-5927
Other providers in South Chesterfield, VA
- Five Axes, LLC
- Focus Forward Counseling and Coaching LLC
- Focus Forward Counseling and Therapeutic Services LLC
- Susan Franck
- Judy Ruth Frates
- Ethel Furbert
- Roschelle Marie Garnett
- Donna Lenora Giles
- Tabitha M Goode
- Jacquelin Grady
All providers in South Chesterfield, VA · Substance Use Disorder Rehabilitation Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.