OrganizationActive
Fresh Start Community Health Center LLC
NPI 1689182792 · Recovery Care Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1689182792
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keesha Dinkins, Business Manager(318) 688-8190
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
351 W 79th St
Shreveport, LA 71106
Phone: (318) 688-8190
Approximate (ZIP-level) locationGet directions
Mailing address
351 W 79th St
Shreveport, LA 71106-4819
Registry dates
- Enumerated
- 2018-01-11
- Last updated
- 2019-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.