Provider Demographics
NPI:1558500991
Name:CAMBRIDGE BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:CAMBRIDGE BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMIN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-317-1435
Mailing Address - Street 1:622 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2854
Mailing Address - Country:US
Mailing Address - Phone:252-353-4250
Mailing Address - Fax:252-353-4228
Practice Address - Street 1:622 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2854
Practice Address - Country:US
Practice Address - Phone:252-353-4250
Practice Address - Fax:252-353-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005320Medicaid