Organization
CUMBERLAND MOUNTAIN INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE MINTON (EXECUTIVE DIRECTOR)
(423) 626-6757
Entity
Organization
Contact information
Practice address
1214 CEDAR FORK RD, TAZEWELL, TN 37879-5000
(423) 626-6757
(423) 626-2358
Mailing address
1214 CEDAR FORK RD, TAZEWELL, TN 37879-5000
(423) 626-6757
(423) 626-2358
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L000000008714
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000008714
TN
Other
Enumeration date
01/31/2007
Last updated
03/25/2013
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