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

Fresh Start Residential Services Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1760547590

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 2006.

Licensed in
NC
In the registry since
2006
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

2411 E Millbrook Rd Ste 114
Raleigh, NC 27604-2800
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 (NC)

Record details

NPI number1760547590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Parks — President Ceo · (919) 790-7869
NPI enumeratedDecember 22, 2006
Last updated in NPPESFebruary 10, 2009
Mailing address2411 E Millbrook Rd, Suite 114, Raleigh, NC 27604-2800

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