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

Extended Reach Daytreatment for Childrena and Adolescents LLC

Organization Case Management Agency · NPI 1740587591

Extended Reach Daytreatment for Childrena and Adolescents LLC is a Case Management Agency in Fayetteville, North Carolina. Registered with an NPI since 2011.

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

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1740587591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Boatman-Hall — Ceo · (910) 229-8256
NPI enumeratedFebruary 14, 2011
Last updated in NPPESFebruary 14, 2011
Mailing address302 Bradford Ave, Fayetteville, NC 28301-5406

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