OrganizationActive
Blc Group Home LLC
NPI 1033007646 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fayetteville, NC
Provider details
- NPI number
- 1033007646
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Naphasorn Reyes, Owner(641) 426-3956
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
5720 Scarecrow Ct
Fayetteville, NC 28314-8560
Phone: (641) 426-3956
Approximate (ZIP-level) locationGet directions
Mailing address
5720 Scarecrow Ct
Fayetteville, NC 28314-8560
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.