Organization
CASCADE BEHAVIORAL TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA TERESA WILLIAMS (DIRECTOR)
(252) 758-2065
Entity
Organization
Contact information
Practice address
325 CLIFTON ST, GREENVILLE, NC 27858-5005
(252) 758-2065
(252) 758-2084
Mailing address
325 CLIFTON ST, GREENVILLE, NC 27858-5005
(252) 758-2065
(252) 758-2084
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
MHL074155
NC
103TB0200X
Cognitive & Behavioral Psychologist
MHL074155
NC
103TC0700X
Clinical Psychologist
MHL074155
NC
103TC2200X
Clinical Child & Adolescent Psychologist
MHL074155
NC
103TF0000X
Family Psychologist
MHL074155
NC
103TP0016X
Prescribing (Medical) Psychologist
Primary
MHL074155
NC
251S00000X
Community/Behavioral Health Agency
MHL074155
NC
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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