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Ican & Associates, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, North Carolina
NPI 1063547701

Ican & Associates, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fayetteville, NC. Ican & Associates, Inc. practices in Fayetteville, NC. The NPI Number for Ican & Associates, Inc. is 1063547701 and holds a License No. 10312009 (North Carolina).

The current practice location address for Ican & Associates, Inc. is 6112 Louise St, Fayetteville, NC and can be reached out via phone at 910-860-9787 and via fax at 910-860-3903.

Location: 6112 Louise St, Fayetteville, NC, 28314-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063547701
Provider Name
Ican & Associates, Inc.
Credential
Provider Entity Type
Organization
Address
6112 Louise St, Fayetteville, NC, 28314-5007
Phone Number
910-860-9787
Fax Number
910-860-3903
Provider Enumeration Date
02/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261QM0801X 01 NC LME
institution
Provider Business Practice Location Address Details
Address
6112 Louise St
City
Fayetteville
State
North Carolina
Zip
28314-2719
Phone Number
910-860-9787
Fax Number
910-860-3903
person
Provider Business Mailing Address Details
Address
6112 Louise St
City
Fayetteville
State
North Carolina
Zip
28314-2719
Phone Number
910-860-9787
Fax Number
910-860-3903
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
047055 (North Carolina)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
10312009 (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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