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Pediatric Developmental Therapy
Community/Behavioral Health Agency in Fayetteville, North Carolina
NPI 1710183991

Pediatric Developmental Therapy is a Community/Behavioral Health Agency based in Fayetteville, NC. Pediatric Developmental Therapy practices in Fayetteville, NC. The NPI Number for Pediatric Developmental Therapy is 1710183991 and holds a License No. (North Carolina).

The current practice location address for Pediatric Developmental Therapy is 1289 Oliver St, Fayetteville, NC and can be reached out via phone at 910-483-8331 and via fax at 910-483-8335.

Location: 1289 Oliver St, Fayetteville, NC, 28304-7294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710183991
Provider Name
Pediatric Developmental Therapy
Credential
Provider Entity Type
Organization
Address
1289 Oliver St, Fayetteville, NC, 28304-7294
Phone Number
910-483-8331
Fax Number
910-483-8335
Provider Enumeration Date
06/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301184 05 NC
institution
Provider Business Practice Location Address Details
Address
1289 Oliver St
City
Fayetteville
State
North Carolina
Zip
28304-4450
Phone Number
910-483-8331
Fax Number
910-483-8335
person
Provider Business Mailing Address Details
Address
1289 Oliver St
City
Fayetteville
State
North Carolina
Zip
28304-4450
Phone Number
910-483-8331
Fax Number
910-483-8335
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(North Carolina)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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