Fresh Start Services, Inc. in Salisbury - Community Based Residential Treatment Facility, Mental Illness
Fresh Start Services, Inc. - NPI 1669525465
Fresh Start Services, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Salisbury, North Carolina. Fresh Start Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Fresh Start Services, Inc. is 1669525465. The last update date is 2020-08-22.
Fresh Start Services, Inc.'s current location address is 421 N Long St, Salisbury, North Carolina. You can contact this provider via phone number 7046458888 and fax number 1046458900. The mailing address for Fresh Start Services, Inc. is 421 N Long St, Salisbury, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Fresh Start Services, Inc. |
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Address | 421 N Long St, Salisbury, North Carolina |
Phone Number | 7046458888 |
Fax Number | 1046458900 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Taylor Rick |
Telephone Number | 7043093758 |
NPI Number Detail
NPI Number | 1669525465 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 421 N Long St |
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City | Salisbury |
State | North Carolina (NC) |
Post Code | 281444428 |
Phone Number | 7046458888 |
Fax Number | 1046458900 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | MHL-023-115 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6603612 | NC | -- |
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What is the unique provider identifier assigned to Fresh Start Services, Inc.?
The Fresh Start Services, Inc. has been issued the NPI (National Provider Identifier) 1669525465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fresh Start Services, Inc. located?
The Fresh Start Services, Inc. is located at 421 N Long St, Salisbury, NC 281444428.
What is Fresh Start Services, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fresh Start Services, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669525465 to Fresh Start Services, Inc.?
The Fresh Start Services, Inc. received its 1669525465 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Fresh Start Services, Inc. most recently updated or revised?
The information pertaining to Fresh Start Services, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.