# FFC INSTITUTE FOR CHANGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740345941
- **Authorized official:** MRS. FONDA FRINK CLARK (CEO)
- **Authorized official phone:** (910) 642-7042

## Contact information

- **Practice address:** 1114 MCCLARY RD, EVERGREEN, NC 28438-9790
- **Practice address phone:** (910) 648-6941
- **Practice address fax:** (910) 648-6941
- **Mailing address:** 617 TODD ALY, WHITEVILLE, NC 28472-4198
- **Mailing address phone:** (910) 642-7042
- **Mailing address fax:** (910) 641-0633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 024058 | NC | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603572 | — | NC |