OrganizationActive
Fresh Start Recovery Center LLC
NPI 1144809088 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gaithersburg, MD
Provider details
- NPI number
- 1144809088
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Fresh Start Recovery Center LLC
- Organization subpart
- Yes
- Authorized official
- Jessie Costley, Licensing Specialist(410) 807-8471
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone: (844) 814-6862
Street-level locationGet directions
Mailing address
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.