FRESH START RESIDENTIAL SERVICES INC NPI 1760547590

NPI Information

FRESH START RESIDENTIAL SERVICES INC is a residential treatment facility emotionally disturbed children in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FRESH START RESIDENTIAL SERVICES INC NPI is 1760547590. The provider is registered as an organization entity type.

The provider's business location address is:

2411 E MILLBROOK RD
SUITE 114
RALEIGH, NC
ZIP 27604-800
Phone: (919) 790-7869
Fax: (919) 790-7864

The provider's authorized official is Michael E Parks .
The authorized official title is President Ceo and has the following contact phone number (919) 790-7869.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 2/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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