Healthcare Provider Details

I. General information

NPI: 1316866874
Provider Name (Legal Business Name): FRESH START TODAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BATTLEGROUND AVE STE 130
GREENSBORO NC
27408-8030
US

IV. Provider business mailing address

1400 BATTLEGROUND AVE STE 130
GREENSBORO NC
27408-8030
US

V. Phone/Fax

Practice location:
  • Phone: 336-303-5844
  • Fax:
Mailing address:
  • Phone: 336-303-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JOHNSON
Title or Position: DIRECTOR
Credential:
Phone: 336-303-5844