Shadowridge Retreat

LBN: F.A.C.T. Specialized Services, Inc.
Shadowridge Retreat is an health care organization with primary practice located at 107 Silverleaf Dr , Jacksonville NC 28546-7360. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. F.A.C.T. Specialized Services, Inc. can be contacted via phone (910) 577-4568, or through Aschbrenner, Lorna Kathleen via phone (910) 346-3744.

Contact Information

Primary practice address
107 Silverleaf Dr Jacksonville NC 28546-7360
Fax: (910) 577-4568
Website:
Authorized official contact:
Name: Aschbrenner, Lorna Kathleen

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL067101 North Carolina

Profile Details

NPI number 1538244074
LBN Legal business name F.A.C.T. Specialized Services, Inc.
DBA Doing business as Shadowridge Retreat
Authorized official Aschbrenner, Lorna Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538244074 NPPES
North Carolina MEDICAID 6603168

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