Fresh Start Residential Services, Inc. in Raleigh - Community/behavioral Health
Fresh Start Residential Services, Inc. - NPI 1255519963
Fresh Start Residential Services, Inc. is a Community/behavioral Health in Raleigh, North Carolina. Fresh Start Residential Services, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Fresh Start Residential Services, Inc. is 1255519963. The last update date is 2008-02-05.
Fresh Start Residential Services, Inc.'s current location address is 2411 E Millbrook Rd Ste 114, Raleigh, North Carolina. You can contact this provider via phone number 9197907869 and fax number 9197907864. The mailing address for Fresh Start Residential Services, Inc. is 2411 E Millbrook Rd Ste 114, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh Start Residential Services, Inc. |
|---|---|
| Address | 2411 E Millbrook Rd Ste 114, Raleigh, North Carolina |
| Phone Number | 9197907869 |
| Fax Number | 9197907864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Parks Michael |
| Telephone Number | 9197907869 |
NPI Number Detail
| NPI Number | 1255519963 |
|---|---|
| Provider Enumeration Date | 2008-02-05 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 2411 E Millbrook Rd Ste 114 |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276042800 |
| Phone Number | 9197907869 |
| Fax Number | 9197907864 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Fresh Start Residential Services, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Fresh Start Residential Services, Inc. has been assigned the NPI (National Provider Identifier) 1255519963. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Fresh Start Residential Services, Inc.'s facilities are situated?
The facilities of Fresh Start Residential Services, Inc. are physically located at the following address: 2411 E Millbrook Rd Ste 114, Raleigh, NC, 276042800.
What is Fresh Start Residential Services, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fresh Start Residential Services, Inc.'s specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255519963 to Fresh Start Residential Services, Inc.?
The Fresh Start Residential Services, Inc. received its 1255519963 assignment from the Centers for Medicare & Medicaid Services on 2008-02-05.
As of what date were the details related to Fresh Start Residential Services, Inc. most recently updated or revised?
The information pertaining to Fresh Start Residential Services, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-02-05.