OrganizationActive
Fresh Start Recovery Group LLC
NPI 1023724861 · Addiction Medicine (Family Medicine) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1023724861
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eamon Poor, Office Manager(260) 402-1503
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3464 Stellhorn Rd
Fort Wayne, IN 46815-4630
Phone: (260) 402-9145
Approximate (ZIP-level) locationGet directions
Mailing address
11788 Whistling Trl
Fort Wayne, IN 46818-0144
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.