# ICAN & ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063547701
- **Authorized official:** SHANNON M BATTLE M.A. (DIRECTOR)
- **Authorized official phone:** (910) 860-9787

## Contact information

- **Practice address:** 6112 LOUISE ST, FAYETTEVILLE, NC 28314-2719
- **Practice address phone:** (910) 860-9787
- **Practice address fax:** (910) 860-3903
- **Mailing address:** PO BOX 25433, FAYETTEVILLE, NC 28314-5007
- **Mailing address phone:** (910) 860-9787
- **Mailing address fax:** (910) 860-3903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253J00000X | Foster Care Agency | 10312009 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 026597 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 047055 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL047055 | NC | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 12/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 261QM0801X | LME | NC |