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Fresh Start Recovery Center LLC

Substance Use Disorder Rehabilitation Clinic/Center in Gaithersburg, MD · enumerated 2017 · authorized official Jessie Costley, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295272482

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Registry record

Entity type Organization (Type 2)
Legal business name Fresh Start Recovery Center LLC
Practice address 15886 Gaither Dr, Suite B, Gaithersburg, MD, 20877
Fax (954) 298-4039
Enumeration date Jan 25, 2017
Last updated in NPPES Apr 7, 2021

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License D0046457 (MD) Primary

Authorized official

Name Jessie Costley
Title Credentialing Specialist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fresh Start Recovery Center LLC located?
The practice location on file with NPPES is in Gaithersburg, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-07.