Organization
FRESH START RESIDENTIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PARKS (PRESIDENT/CEO)
(919) 790-7869
Entity
Organization
Contact information
Practice address
2411 E MILLBROOK RD STE 114, RALEIGH, NC 27604-2800
(919) 790-7869
(919) 790-7864
Mailing address
2411 E MILLBROOK RD STE 114, RALEIGH, NC 27604-2800
(919) 790-7869
(919) 790-7864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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