Organization
FRESH START OF MONROE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTA WALKER (EXECUTIVE DIRECTOR)
(817) 243-9661
Entity
Organization
Contact information
Practice address
609 S JEFFERSON ST, AMARILLO, TX 79101-2121
(806) 418-6764
(806) 418-6765
Mailing address
609 S JEFFERSON ST, AMARILLO, TX 79101-2121
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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