Organization · Type 2 NPI

Fresh Start Residential Services Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Raleigh, NC

NPI number 1669507315 Active

Practice location

5817 Old Forge Cir
Raleigh, NC 27609-4035

Call (919) 790-7869 Map

Fax (919) 790-7864

Mailing address

2411 E Millbrook Rd Ste 114
Raleigh, NC 27604-2800

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL 092 480 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

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About NPI 1669507315

Fresh Start Residential Services Inc's National Provider Identifier is 1669507315, issued on Feb 22, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 19, 2008.