Fresh Start Youth Services, Inc.

NPI 1790853646 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1790853646
Enumeration Date 11/30/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM E. WILLIAM
Position CEOEXECUTIVE DIRECTOR
Phone (704) 226-2469
Fax (704) 290-2399
Practice Location
429 BOSTIC SUNSHINE HWY
BOSTIC NC, 28018-9775, US
Phone (704) 226-2469
Fax (704) 290-2399
Business Location
429 BOSTIC SUNSHINE HWY
BOSTIC NC, 28018-9775, US
Phone (704) 226-2469
Fax (704) 290-2399
Toxanomy
Taxonomy Code 322D00000X
License State North Carolina
License Number 081067
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According to our database, Fresh Start Youth Services, Inc. NPI is 1790853646, taxonomy code is 322D00000X and license number is 081067, license state is located at North Carolina. Fresh Start Youth Services, Inc. physically located at 429 Bostic Sunshine Hwy, Bostic NC, 28018-9775. NPI Number 1033115704 has the healthcare provider type.

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1790853646 NPI number is provided on an as is basis without warranty of any kind. 1790853646 is maintained by the National Plan & Provider Enumeration System. The contents of Fresh Start Youth Services, Inc. are for informational purposes only.