Fresh Start Youth Services, Inc.
LBN: Fresh Start Youth Services, Inc.
Fresh Start Youth Services, Inc. is an health care organization with primary practice located at 2110 Griffith Rd , Monroe NC 28112-8833. 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 Youth Services, Inc. can be contacted via phone (704) 282-4243, or through Lheureux, William Edmond via phone (704) 226-2469.
Contact Information
Primary practice address
2110 Griffith Rd
Monroe NC 28112-8833
Phone: (704) 282-4243
Fax: (704) 218-6743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 090143 | North Carolina |
Profile Details
| NPI number | 1811022718 |
|---|---|
| LBN Legal business name | Fresh Start Youth Services, Inc. |
| DBA Doing business as | |
| Authorized official | Lheureux, William Edmond MA, MPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811022718 | NPPES |
| North Carolina | MEDICAID | 6603451 |
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