Organization
A FRESH START SOUTHERN SUPPORT RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE M PERSAUD (MANAGING MEMBER)
(252) 642-5345
Entity
Organization
Contact information
Practice address
327 GLOVERS CROSS RD, COLERAIN, NC 27924-9449
(252) 642-5345
Mailing address
327 GLOVERS CROSS RD, COLERAIN, NC 27924-9449
(252) 642-5345
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/06/2025
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