Organization
FACT SPECIALIZED SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA KATHLEEN ASCHBRENNER (DIRECTOR OF OPERATIONS)
(910) 346-3744
Entity
Organization
Contact information
Practice address
127 CENTER ST, JACKSONVILLE, NC 28546-5708
(910) 346-3744
(910) 346-5344
Mailing address
127 CENTER ST, JACKSONVILLE, NC 28546-5708
(910) 346-3744
(910) 346-5344
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2112
NC
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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