Organization · Type 2 NPI

Fresh Start Residential Facility, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayetteville, NC

NPI number 1710039086 Active

Practice location

7866 Adrian Dr
Fayetteville, NC 28314-6312

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X026-822 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1710039086

Fresh Start Residential Facility, Inc's National Provider Identifier is 1710039086, issued on Jan 17, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 20, 2014.