Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fresh Start Residential Services Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1669507315

Fresh Start Residential Services Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5817 Old Forge Cir
Raleigh, NC 27609-4035
Phone: (919) 790-7869
Fax: (919) 790-7864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL 092 480 (NC)

Record details

NPI number1669507315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Parks — President · (919) 790-7869
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJune 19, 2008
Mailing address2411 E Millbrook Rd Ste 114, Raleigh, NC 27604-2800

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