Organization · Type 2 NPI

Extended Reach Day Treatment for Children & Adolescents LLC

Community/Behavioral Health Agency · Fayetteville, NC

NPI number 1538465604 Active

Practice location

302 Bradford Ave
Fayetteville, NC 28301-5406

Fax (919) 238-7287

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	MHL026852 (NC)

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1538465604

Extended Reach Day Treatment for Children & Adolescents LLC's National Provider Identifier is 1538465604, issued on Feb 7, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fayetteville, NC. The record was last updated on Feb 7, 2011.