Organization
FFC INSTITUTE FOR CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FONDA FRINK CLARK (CEO)
(910) 642-7042
Entity
Organization
Contact information
Practice address
1114 MCCLARY RD, EVERGREEN, NC 28438-9790
(910) 648-6941
(910) 648-6941
Mailing address
617 TODD ALY, WHITEVILLE, NC 28472-4198
(910) 642-7042
(910) 641-0633
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
024058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603572
—
NC
Enumeration date
12/27/2006
Last updated
08/22/2020
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