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F.a.c.t. Specialized Services, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Jacksonville, North Carolina
NPI 1447335989

F.a.c.t. Specialized Services, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Raleigh, NC. F.a.c.t. Specialized Services, Llc practices in Jacksonville, NC. The NPI Number for F.a.c.t. Specialized Services, Llc is 1447335989 and holds a License No. MHL067140 (North Carolina).

The current practice location address for F.a.c.t. Specialized Services, Llc is 120 Henderson Dr Ste A&B, Jacksonville, NC and can be reached out via phone at 910-346-3744 and via fax at 910-346-5344. You can also correspond with F.a.c.t. Specialized Services, Llc through the mailing address at 1041 WASHINGTON ST, RALEIGH, NC - 27605-1259 (mailing address contact number: 919-833-2834).

Location: 120 Henderson Dr Ste A&B, Jacksonville, NC, 27605-1259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447335989
Provider Name
F.a.c.t. Specialized Services, Llc
Credential
Provider Entity Type
Organization
Address
120 Henderson Dr Ste A&B, Jacksonville, NC, 27605-1259
Phone Number
910-346-3744
Fax Number
910-346-5344
Provider Enumeration Date
10/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604447 05 NC
6604445 05 NC
8303287R 05 NC
institution
Provider Business Practice Location Address Details
Address
120 Henderson Dr Ste A&B
City
Jacksonville
State
North Carolina
Zip
28540-5602
Phone Number
910-346-3744
Fax Number
910-346-5344
person
Provider Business Mailing Address Details
Address
1041 Washington St
City
Raleigh
State
North Carolina
Zip
27605-1259
Phone Number
919-833-2834
Fax Number
919-755-1833
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL067101 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL067140 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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