Organization
FRESH START OUTREACH MINISTRIES INC.
Active
Other names
Fresh Start Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN CLAY RUSSELL (DIRECTOR)
(318) 435-7061
Entity
Organization
Contact information
Practice address
7060 PRAIRIE RD, WINNSBORO, LA 71295-2951
(318) 435-7061
Mailing address
PO BOX 593, WINNSBORO, LA 71295-0593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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