Provider Demographics
NPI:1528214905
Name:CALDWELL AND ASSOCIATES BEHAVIOR HEALTH, LLC
Entity Type:Organization
Organization Name:CALDWELL AND ASSOCIATES BEHAVIOR HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-489-9036
Mailing Address - Street 1:2539 MCARTHUR LANDING CIR
Mailing Address - Street 2:102
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9020
Mailing Address - Country:US
Mailing Address - Phone:910-261-3253
Mailing Address - Fax:
Practice Address - Street 1:2539 MCARTHUR LANDING CIR
Practice Address - Street 2:102
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-9020
Practice Address - Country:US
Practice Address - Phone:910-261-3253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-17
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities