Organization
F.A.C.T. SPECIALIZED SERVICES, INC.
Active
Parent organization
THE METHODIST HOME FOR CHILDREN, INC.
Other names
Silverleaf Lodge
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE METHODIST HOME FOR CHILDREN, INC.
Authorized official
SUSAN WINNINGHAM (QI DIRECTOR)
(910) 346-3744
Entity
Organization
Contact information
Practice address
109 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
(910) 353-1903
(910) 577-4568
Mailing address
109 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
(910) 353-1903
(910) 577-4568
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL067133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603236
—
NC
Enumeration date
10/18/2006
Last updated
04/22/2013
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