Provider Demographics
NPI:1851636385
Name:CUMBERLAND BEHAVIORAL HEALTH AND CRISIS SERVICES LLC
Entity Type:Organization
Organization Name:CUMBERLAND BEHAVIORAL HEALTH AND CRISIS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VONSWELIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-584-0628
Mailing Address - Street 1:732 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-0219
Mailing Address - Country:US
Mailing Address - Phone:910-584-0628
Mailing Address - Fax:
Practice Address - Street 1:732 EDGEHILL RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-0219
Practice Address - Country:US
Practice Address - Phone:910-584-0628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health