| F.a.c.t. Specialized Services, Llc | |
|
120 Henderson Dr Ste A&b Jacksonville NC 28540-5602 | |
| (910) 346-3744 | |
| (910) 346-5344 |
| Full Name | F.a.c.t. Specialized Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Henderson Dr Ste A&b, Jacksonville, North Carolina |
| Authorized Official Name and Position | Susan Frankfort (QI DIRECTOR) |
| Authorized Official Contact | 9197543638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.a.c.t. Specialized Services, Llc 1041 Washington St Raleigh NC 27605-1259 Ph: (919) 833-2834 | F.a.c.t. Specialized Services, Llc 120 Henderson Dr Ste A&b Jacksonville NC 28540-5602 Ph: (910) 346-3744 |
| NPI Number | 1447335989 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447335989 | NPI | - | NPPES |
| 6604447 | Medicaid | NC | |
| 6604445 | Medicaid | NC | |
| 8303287R | Medicaid | NC |
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