Blc Group Home LLC

NPI #1033007646 in Fayetteville, North Carolina

Provider Information

NPI Number
1033007646
Entity Type
Organization
Organization Name
Blc Group Home LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 24, 2025
Last Updated
Jun 24, 2025

Practice Location

Address
5720 SCARECROW CT
ZIP Code
28314-8560
Phone
(641) 426-3956

Authorized Official

Name
NAPHASORN REYES
Title
OWNER
Phone
(641) 426-3956

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Psychiatric Residential Treatment Facility
Residential Treatment Facility, Emotionally Disturbed Children

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