Fresh Start Residential Services Inc in Raleigh - Residential Treatment Facility, Emotionally Disturbed Children
Fresh Start Residential Services Inc - NPI 1851426431
Fresh Start Residential Services Inc is a Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, North Carolina. Fresh Start Residential Services Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Fresh Start Residential Services Inc is 1851426431. The last update date is 2020-08-22.
Fresh Start Residential Services Inc's current location address is 2411 E Millbrook Rd, 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, 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, Raleigh, North Carolina |
| Phone Number | 9197907869 |
| Fax Number | 9197907864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Perkins Michael |
| Telephone Number | 9197907869 |
NPI Number Detail
| NPI Number | 1851426431 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2411 E Millbrook Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276042800 |
| Phone Number | 9197907869 |
| Fax Number | 9197907864 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL 092 395 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code assigned to Fresh Start Residential Services Inc by the Centers for Medicare & Medicaid Services?
The Fresh Start Residential Services Inc has been issued the NPI (National Provider Identifier) 1851426431, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fresh Start Residential Services Inc is located?
The Fresh Start Residential Services Inc is situated at the following address: 2411 E Millbrook Rd, 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 Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851426431 to Fresh Start Residential Services Inc?
The Centers for Medicare & Medicaid Services assigned the 1851426431 to Fresh Start Residential Services Inc on 2007-02-22.
As of what date were the details pertaining to Fresh Start Residential Services Inc last refreshed?
The information related to the Fresh Start Residential Services Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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