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Extended Reach Daytreatment For Children And Adolescents
Community/Behavioral Health Agency in Fayetteville, North Carolina
NPI 1821395674

Extended Reach Daytreatment For Children And Adolescents is a Community/Behavioral Health Agency based in Fayetteville, NC. Extended Reach Daytreatment For Children And Adolescents practices in Fayetteville, NC. The NPI Number for Extended Reach Daytreatment For Children And Adolescents is 1821395674 and holds a License No. MHL-026-852 (North Carolina).

The current practice location address for Extended Reach Daytreatment For Children And Adolescents is 302 Bradford Ave, Fayetteville, NC and can be reached out via phone at 910-484-0095 and via fax at 919-238-7287.

Location: 302 Bradford Ave, Fayetteville, NC, 28301-5406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821395674
Provider Name
Extended Reach Daytreatment For Children And Adolescents
Credential
Provider Entity Type
Organization
Address
302 Bradford Ave, Fayetteville, NC, 28301-5406
Phone Number
910-484-0095
Fax Number
919-238-7287
Provider Enumeration Date
02/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8302981 05 NC
8302339 05 NC
3410184 05 NC
6006927 05 NC
institution
Provider Business Practice Location Address Details
Address
302 Bradford Ave
City
Fayetteville
State
North Carolina
Zip
28301-5406
Phone Number
910-484-0095
Fax Number
919-238-7287
person
Provider Business Mailing Address Details
Address
302 Bradford Ave
City
Fayetteville
State
North Carolina
Zip
28301-5406
Phone Number
910-484-0095
Fax Number
919-238-7287
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-026-852 (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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