Organization
FRESH START BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTAL SMITH BA, SA CERTIFIED (CEO/DIRECTOR)
(336) 473-7597
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST, SUITE 230 2-98 BOX88, WINSTON SALEM, NC 27101-5852
(336) 473-7597
Mailing address
1001 S MARSHALL ST, SUITE 230 , 2-98 (BOX88), WINSTON SALEM, NC 27101-5852
(336) 473-7597
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/04/2010
Last updated
04/12/2011
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