Extended Reach Day Treatment For Children & Adolescents Llc
LBN: Extended Reach Day Treatment For Children & Adolescents Llc
Extended Reach Day Treatment For Children & Adolescents Llc is an health care organization with primary practice located at 302 Bradford Ave , Fayetteville NC 28301-5406. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Extended Reach Day Treatment For Children & Adolescents Llc can be contacted via phone (910) 484-0095, or through Boatman-Hall, Andrea via phone (910) 229-8256.
Contact Information
Primary practice address
302 Bradford Ave
Fayetteville NC 28301-5406
Phone: (910) 484-0095
Fax: (919) 238-7287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | MHL026852 | North Carolina |
Profile Details
| NPI number | 1538465604 |
|---|---|
| LBN Legal business name | Extended Reach Day Treatment For Children & Adolescents Llc |
| DBA Doing business as | |
| Authorized official | Boatman-Hall, Andrea BA,HSM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2011 |
| Last updated | Feb 7th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538465604 | NPPES |
| North Carolina | MEDICAID | 8302339 | |
| North Carolina | MEDICAID | 8302981 |
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