Provider Demographics
NPI:1861449282
Name:CHILDREN'S CENTER OF THE CUMBERLANDS
Entity Type:Organization
Organization Name:CHILDREN'S CENTER OF THE CUMBERLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMULA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-569-8900
Mailing Address - Street 1:22537 ALBERTA ST
Mailing Address - Street 2:P.O. BOX 4314
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-3803
Mailing Address - Country:US
Mailing Address - Phone:423-569-8900
Mailing Address - Fax:423-569-8921
Practice Address - Street 1:22537 ALBERTA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-3803
Practice Address - Country:US
Practice Address - Phone:423-569-8900
Practice Address - Fax:423-569-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL 2140361225251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable