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Organization
FRESH START YOUTH SERVICES, INC.
Active
Organization
FRESH START YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDMOND LHEUREUX MA, MPA (CEO EXECUTIVE DIRECTOR)
(704) 226-2469
Entity
Organization
Contact information
Practice address
2110 GRIFFITH RD, MONROE, NC 28112-8833
(704) 282-4243
(704) 218-6743
Mailing address
2110 GRIFFITH RD, MONROE, NC 28112-8833
(704) 282-4243
(704) 218-6743
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
090143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603451
—
NC
Enumeration date
02/22/2007
Last updated
08/22/2020
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