Provider Demographics
NPI:1023191657
Name:CALDWELL OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:CALDWELL OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARCUM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, QDDP
Authorized Official - Phone:828-757-5680
Mailing Address - Street 1:1617 COLLEGE AVE SW
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-5315
Mailing Address - Country:US
Mailing Address - Phone:828-757-5680
Mailing Address - Fax:828-757-5676
Practice Address - Street 1:1617 COLLEGE AVE SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5315
Practice Address - Country:US
Practice Address - Phone:828-757-5680
Practice Address - Fax:828-757-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409439Medicaid