Cumberland Residential & Employment Services & Training

NPI 1043354061 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1043354061
Enumeration Date 02/16/2007
Last Updated 07/29/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DWAYNE K. DWAYNE
Position EXECUTIVE DIRECTOR
Phone (910) 487-3131
Fax (910) 487-0637
Practice Location
1533 MINTZ DRIVE
FAYETTEVILLE NC, 28303, US
Phone (910) 487-3131
Fax (910) 487-0637
Business Location
PO BOX 877
FAYETTEVILLE NC, 28302-0877, US
Phone (910) 487-3131
Fax (910) 487-0637
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL-026-639
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According to our database, Cumberland Residential & Employment Services & Training NPI is 1043354061, taxonomy code is 320600000X and license number is MHL-026-639, license state is located at North Carolina. Cumberland Residential & Employment Services & Training physically located at 1533 Mintz Drive, Fayetteville NC, 28303. NPI Number 1033115704 has the healthcare provider type.

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1043354061 NPI number is provided on an as is basis without warranty of any kind. 1043354061 is maintained by the National Plan & Provider Enumeration System. The contents of Cumberland Residential & Employment Services & Training are for informational purposes only.