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Organization

JMJ ENTERPRISES, LLC

Active
Other names
Fresh Start Home for Children
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACI JOHNSON MARTIN (DIRECTOR/ OWNER)
(336) 988-1552
Entity
Organization

Contact information

Practice address
2020 TEXTILE DR, GREENSBORO, NC 27405-5857
(336) 271-6982
(336) 271-6982
Mailing address
2 LOXWOOD CT, GREENSBORO, NC 27405-9728
(336) 271-6982
(336) 271-6982

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL041857
NC

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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