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

Organization Community/Behavioral Health Agency · NPI 1821395674

Extended Reach Daytreatment for Children and Adolescents 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
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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 MHL-026-852 (NC)

Record details

NPI number1821395674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Boatman — Ceo · (910) 229-8256
Other names Extended Reach Day Treatment
NPI enumeratedFebruary 14, 2011
Last updated in NPPESJuly 15, 2014
Mailing address302 Bradford Ave, Fayetteville, NC 28301-5406

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