NPI 1255466827

Fresh Start Residential Services INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Raleigh, NC

Practice location

Address: 5039 Sedgewick Dr APT D, Raleigh, NC 27616-4576
Phone: (919) 790-7869
Fax: (919) 790-7864
Mailing address: 2411 E Millbrook Rd STE 114, Raleigh, NC 27604-2800

Authorised official

Name: Michael Parks
Title: President
Phone: (919) 790-7869

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL 092 449 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1255466827
Entity type: Organization
NPI issued: 22 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.