NPI 1033007646

Blc Group Home LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fayetteville, NC

Practice location

Address: 5720 Scarecrow CT, Fayetteville, NC 28314-8560
Phone: (641) 426-3956

Authorised official

Name: Naphasorn Reyes
Title: Owner
Phone: (641) 426-3956

Registered specialties (4)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

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Registry record

NPI: 1033007646
Entity type: Organization
NPI issued: 24 Jun 2025
Record last updated: 24 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.