Organization
FRESH START SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK TAYLOR (OWNER)
(704) 309-3758
Entity
Organization
Contact information
Practice address
916 W HORAH ST, SALISBURY, NC 28144-4012
(704) 645-8888
(704) 645-8900
Mailing address
421 N LONG ST, SALISBURY, NC 28144-4428
(704) 645-8888
(704) 645-8900
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-080-133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603356
—
NC
Enumeration date
01/18/2007
Last updated
08/22/2020
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