Organization
JMJ ENTERPRISES
Active
Organization
JMJ ENTERPRISES
Active
Other names
Fresh Start Home for Children
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI JOHNSON MARTIN (OWNER)
(336) 375-3901
Entity
Organization
Contact information
Practice address
2020 TEXTILE DR, GREENSBORO, NC 27405-5857
(336) 271-6982
(336) 419-0456
Mailing address
2020 TEXTILE DR, GREENSBORO, NC 27405-5857
(336) 988-1552
(336) 272-6604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-1095
NC
251S00000X
Community/Behavioral Health Agency
MHL-041-1115
NC
253Z00000X
In Home Supportive Care Agency
MHL-041-1115
NC
253Z00000X
In Home Supportive Care Agency
MHL0411095
NC
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
MHL-041-1095
NC
311ZA0620X
Adult Care Home Facility
MHL-041-1115
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL041857
NC
385H00000X
Respite Care
MHL-041-1095
NC
385H00000X
Respite Care
MHL-041-1115
NC
Other
Enumeration date
08/07/2008
Last updated
05/03/2022
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