Fresh Start Residential Services Inc

LBN: Fresh Start Residential Services Inc
Fresh Start Residential Services Inc is an health care organization with primary practice located at 5817 Old Forge Cir , Raleigh NC 27609-4035. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Fresh Start Residential Services Inc can be contacted via phone (919) 790-7869, or through Parks, Michael via phone (919) 790-7869.

Contact Information

Primary practice address
5817 Old Forge Cir Raleigh NC 27609-4035
Phone: (919) 790-7869
Fax: (919) 790-7864
Website:
Map and Directions
Authorized official contact:
Name: Parks, Michael
Phone: (919) 790-7869

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL 092 480 North Carolina

Profile Details

NPI number 1669507315
LBN Legal business name Fresh Start Residential Services Inc
DBA Doing business as
Authorized official Parks, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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