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EXTENDED REACH DAY TREATMENT FOR CHILDREN & ADOLESCENTS LLC
NPI 1538465604
Community/Behavioral Health in Fayetteville, NC

Active since February 07, 2011
302 BRADFORD AVE, FAYETTEVILLE, NC 28301(910) 484-0095(919) 238-7287 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Extended Reach Day Treatment For Children & Adolescents Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDED REACH DAY TREATMENT FOR CHILDREN & ADOLESCENTS LLC (NPI 1538465604) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since February 2011. The organization lists Andrea Boatman-hall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538465604
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEXTENDED REACH DAY TREATMENT FOR CHILDREN & ADOLESCENTS LLC
Location Address302 BRADFORD AVEFayetteville, NC 28301-5406
Mailing Address302 Bradford AveFayetteville, NC 28301-5406 · (910) 484-0095 · Fax (919) 238-7287
Phone(910) 484-0095
Fax(919) 238-7287
Organization SubpartNo
Authorized OfficialAndrea Boatman-hallCeo · (910) 229-8256
Enumeration DateFebruary 7, 2011
✔ NPI 1538465604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL026852
Definition
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.
302 BRADFORD AVE, Fayetteville, NC 28301
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Other Identifiers 2

Medicaid8302339NC
Medicaid8302981NC

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRSE ADVANCED PLACEMENT HOMES, INC.
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (336) 722-1862
SAMANTHA MCQUEEN MSW, LCSWA
Social Worker (Clinical)
302 BRADFORD AVE, SUITE 2
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095
KERSTIN SHEETS
Social Worker (Clinical)
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095
CRSE ADVANCED PLACEMENT HOMES, INC.
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (336) 722-1862
LISA DANIELS
Social Worker (Clinical)
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095
EXTENDED REACH DAYTREATMENT FOR CHILDRENA AND ADOLESCENTS LLC
Case Management
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095
REACHING OUT AND BEYOND LLC
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095
EXTENDED REACH DAYTREATMENT FOR CHILDREN AND ADOLESCENTS
Community/Behavioral Health
302 BRADFORD AVE
FAYETTEVILLE, NC 28301
Cumberland County (910) 484-0095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extended Reach Day Treatment For Children & Adolescents LLC's NPI number?

The NPI number for Extended Reach Day Treatment For Children & Adolescents LLC is 1538465604. It was assigned to this organization in the NPPES registry on February 7, 2011.

Where is Extended Reach Day Treatment For Children & Adolescents LLC located?

Extended Reach Day Treatment For Children & Adolescents LLC is located at 302 Bradford Ave, Fayetteville, NC 28301. The listed phone number is (910) 484-0095.

What is Extended Reach Day Treatment For Children & Adolescents LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Extended Reach Day Treatment For Children & Adolescents LLC was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.