Organization
F.A.C.T. SPECIALIZED SERVICES, INC.
Active
Other names
Shadowridge Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA KATHLEEN ASCHBRENNER (DIRECTOR OF OPERATIONS)
(910) 346-3744
Entity
Organization
Contact information
Practice address
107 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
(910) 577-4568
(910) 577-4568
Mailing address
107 SILVERLEAF DR, JACKSONVILLE, NC 28546-7360
(910) 577-4568
(910) 577-4568
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL067101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603168
—
NC
Enumeration date
10/25/2006
Last updated
08/22/2020
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