| A Fresh Start Southern Support Recovery Services, Llc | |
|
327 Glovers Cross Rd Colerain NC 27924-9449 | |
| (252) 642-5345 | |
| Not Available |
| Full Name | A Fresh Start Southern Support Recovery Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 327 Glovers Cross Rd, Colerain, North Carolina |
| Authorized Official Name and Position | Vickie M Persaud (MANAGING MEMBER) |
| Authorized Official Contact | 2526425345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Fresh Start Southern Support Recovery Services, Llc 327 Glovers Cross Rd Colerain NC 27924-9449 Ph: (252) 642-5345 | A Fresh Start Southern Support Recovery Services, Llc 327 Glovers Cross Rd Colerain NC 27924-9449 Ph: (252) 642-5345 |
| NPI Number | 1508728023 |
|---|---|
| Provider Enumeration Date | 12/02/2025 |
| Last Update Date | 12/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508728023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Roanoke Chowan Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 W River St, Colerain, NC 27924 Phone: 252-356-2404 Fax: 252-356-2899 |