Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Extended Reach Day Treatment for Children and Adolescents, LLC

Organization Community/Behavioral Health Agency · NPI 1487829248

Extended Reach Day Treatment for Children and Adolescents, LLC is a Community/Behavioral Health Agency in Fayetteville, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2716 Custer Ave
Fayetteville, NC 28312-7814
Phone: (910) 484-0095
Fax: (919) 238-7238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1487829248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Boatman-Hall — C.E.O · (910) 229-8256
NPI enumeratedApril 23, 2008
Last updated in NPPESMay 27, 2010
Mailing address2716 Custer Ave, Fayetteville, NC 28312-7814

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