Organization · Type 2 NPI

BLC Group Home LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Fayetteville, NC

NPI number 1033007646 Active

Practice location

5720 Scarecrow Ct
Fayetteville, NC 28314-8560

Call (641) 426-3956 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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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About NPI 1033007646

BLC Group Home LLC's National Provider Identifier is 1033007646, issued on Jun 24, 2025. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 24, 2025.