Provider Demographics
NPI:1710936950
Name:CUMBERLAND HEIGHTS TREATMENT CENTER
Entity Type:Organization
Organization Name:CUMBERLAND HEIGHTS TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:615-352-1757
Mailing Address - Street 1:8283 RIVER ROAD PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-6018
Mailing Address - Country:US
Mailing Address - Phone:615-353-4377
Mailing Address - Fax:615-690-4535
Practice Address - Street 1:8283 RIVER ROAD PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-6018
Practice Address - Country:US
Practice Address - Phone:615-353-4377
Practice Address - Fax:615-690-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB04125Medicare UPIN