Organization
F.A.C.T. SPECIALIZED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FRANKFORT (QI DIRECTOR)
(919) 754-3638
Entity
Organization
Contact information
Practice address
120 HENDERSON DR STE A&B, JACKSONVILLE, NC 28540-5602
(910) 346-3744
(910) 346-5344
Mailing address
1041 WASHINGTON ST, RALEIGH, NC 27605-1259
(919) 833-2834
(919) 755-1833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL067140
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL067101
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL067133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604445
—
NC
05
—
6604447
—
NC
05
—
8303287R
—
NC
Enumeration date
10/25/2006
Last updated
10/14/2021
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