Organization
FRESH START YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDMOND LHEUREUX MA, MPA (CEO EXECUTIVE DIRECTOR)
(704) 226-2469
Entity
Organization
Contact information
Practice address
2110 GRIFFITH RD, MONROE, NC 28112-8833
(704) 282-4243
(704) 218-6743
Mailing address
2110 GRIFFITH RD, MONROE, NC 28112-8833
(704) 282-4243
(704) 218-6743
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
090143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603451
—
NC
Enumeration date
02/22/2007
Last updated
08/22/2020
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