Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Extended Reach Day Treatment for Children & Adolescents LLC

Organization Community/Behavioral Health Agency · NPI 1538465604

Extended Reach Day Treatment for Children & Adolescents LLC is a Community/Behavioral Health Agency in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

302 Bradford Ave
Fayetteville, NC 28301-5406
Phone: (910) 484-0095
Fax: (919) 238-7287
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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 · Licence MHL026852 (NC)

Record details

NPI number1538465604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Boatman-Hall — Ceo · (910) 229-8256
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 7, 2011
Mailing address302 Bradford Ave, Fayetteville, NC 28301-5406

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