NPI 1225428634

Fokus Residential Services, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Burlington, NC

Practice location

Address: 411 Tillman St, Burlington, NC 27217-2358
Phone: (336) 350-8420
Mailing address: 3116 Juniper Dr, Burlington, NC 27215-7934

Authorised official

Name: Keith Derrick Haith
Title: Director
Phone: (336) 675-4713

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 001-235 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1225428634
Entity type: Organization
NPI issued: 23 Jan 2015
Record last updated: 23 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.