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Organization
FOCUS-NC, LLC
Active
Organization
FOCUS-NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROCHELLE KING CANTY (FACILITY DIRECTOR)
(910) 297-2865
Entity
Organization
Contact information
Practice address
1117 OLD FAYETTEVILLE RD NE, LELAND, NC 28451-8361
(910) 371-1066
Mailing address
1117 OLD FAYETTEVILLE RD NE, LELAND, NC 28451-8361
(910) 371-1066
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-010-057
NC
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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