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Organization
FRESH START OUTREACH MINISTRIES INC.
Active
Organization
FRESH START OUTREACH MINISTRIES INC.
Active
Other names
Fresh Start Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN CLAY RUSSELL (DIRECTOR)
(318) 435-7061
Entity
Organization
Contact information
Practice address
7060 PRAIRIE RD, WINNSBORO, LA 71295-2951
(318) 435-7061
Mailing address
PO BOX 593, WINNSBORO, LA 71295-0593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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