Organization
FRESH START FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSHAUN M ADAMS (EXECUTIVE DIRECTOR)
(704) 236-5680
Entity
Organization
Contact information
Practice address
1566 UNION RD STE B, SUITE 6, GASTONIA, NC 28054-5301
(704) 236-5680
(888) 340-4417
Mailing address
1566 UNION RD STE B, SUITE 6, GASTONIA, NC 28054-5301
(704) 236-5680
(888) 340-4417
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
01/14/2010
Last updated
03/05/2010
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