| Fresh Start Home For Children | |
|
2020 Textile Dr Greensboro NC 27405-5857 | |
| (336) 271-6982 | |
| (336) 271-6982 |
| Full Name | Fresh Start Home For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 Textile Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Traci Johnson Martin (DIRECTOR/ OWNER) |
| Authorized Official Contact | 3369881552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Home For Children 2 Loxwood Ct Greensboro NC 27405-9728 Ph: (336) 271-6982 | Fresh Start Home For Children 2020 Textile Dr Greensboro NC 27405-5857 Ph: (336) 271-6982 |
| NPI Number | 1336372051 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336372051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL041857 (North Carolina) | Primary |
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