# F.A.C.T. SPECIALIZED SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shadowridge Retreat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538244074
- **Authorized official:** LORNA KATHLEEN ASCHBRENNER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (910) 346-3744

## Contact information

- **Practice address:** 107 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
- **Practice address phone:** (910) 577-4568
- **Practice address fax:** (910) 577-4568
- **Mailing address:** 107 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
- **Mailing address phone:** (910) 577-4568
- **Mailing address fax:** (910) 577-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL067101 | NC | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603168 | — | NC |