Organization
FAITH THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN C ROUSH BA QMHP QDDP (DIRECTOR)
(910) 389-8830
Entity
Organization
Contact information
Practice address
411 WESTERN BLVD STE 22, JACKSONVILLE, NC 28546-6848
(910) 389-8830
Mailing address
PO BOX 1936, SWANSBORO, NC 28584
(910) 389-8830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-067-038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409099
—
NC
Enumeration date
03/27/2007
Last updated
04/14/2009
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