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Organization
CHILDRENS TREATMENT CENTER INC
Active
Organization
CHILDRENS TREATMENT CENTER INC
Active
Other names
Cumberland House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY A SMITH (DIRECTOR)
(910) 843-3414
Entity
Organization
Contact information
Practice address
210 NORTH FAYETTEVILLE STREET, LUMBER BRIDGE, NC 28357
(910) 843-3414
(910) 843-3540
Mailing address
210 NORTH FAYETTEVILLE STREET, LUMBER BRIDGE, NC 28357
(910) 843-3414
(910) 843-3540
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-026-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603757
—
NC
Enumeration date
12/18/2006
Last updated
06/30/2009
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