# FRESH START RESIDENTIAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851426431
- **Authorized official:** MR. MICHAEL PERKINS (PRESIDENT)
- **Authorized official phone:** (919) 790-7869

## Contact information

- **Practice address:** 4928 COOLRIDGE CT APT A, RALEIGH, NC 27616-5294
- **Practice address phone:** (919) 790-7869
- **Practice address fax:** (919) 790-7864
- **Mailing address:** 2411 E MILLBROOK RD, RALEIGH, NC 27604-2800
- **Mailing address phone:** (919) 790-7869
- **Mailing address fax:** (919) 790-7864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL 092 395 | NC | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020