EXTENDED REACH DAY TREATMENT FOR CHILDREN AND ADOLESCENTS, LLC
NPI 1487829248
Community/Behavioral Health in Fayetteville, NC
- Organization
- Community/Behavioral Health
About EXTENDED REACH DAY TREATMENT FOR CHILDREN AND ADOLESCENTS, LLC
This page provides the complete NPI Profile along with additional information for Extended Reach Day Treatment For Children And Adolescents, Llc, a provider established in Fayetteville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1487829248 assigned on April 2008. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Andrea Monique Boatman-hall (C.e.o)
- NPI
- 1487829248 Verify this NPI
- Provider Name
- EXTENDED REACH DAY TREATMENT FOR CHILDREN AND ADOLESCENTS, LLC
- Entity Type
- Organization
- Location Address
- 2716 CUSTER AVE FAYETTEVILLE, NC 28312
- Location Phone
- (910) 484-0095
- Location Fax
- (919) 238-7238
- Mailing Address
- 2716 CUSTER AVE FAYETTEVILLE, NC 28312
- Mailing Phone
- (910) 484-0095
- Mailing Fax
- (919) 238-7238
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2008
- Last Update Date
- 05-27-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8302339 | MEDICAID (05) | NC | |
| 6006927 | MEDICAID (05) | NC |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487829248, enumerated as an "organization" on April 23, 2008.
The provider is located at 2716 CUSTER AVE FAYETTEVILLE, NC 28312 and the phone number is (910) 484-0095.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
