Organization
FFC INSTITUTE FOR CHANGE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FONDA CLARK (ADMINISTRATOR)
(910) 234-0655
Entity
Organization
Contact information
Practice address
616 MADISON ST S, STE B, WHITEVILLE, NC 28472-4198
(910) 642-6915
(910) 641-0633
Mailing address
616 MADISON ST S, STE B, WHITEVILLE, NC 28472-4198
(910) 642-6915
(910) 641-0633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL024-058
NC
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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