Organization
CUMBERLAND TARGETED CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE N JOHNSON (PRESIDENT)
(910) 574-0966
Entity
Organization
Contact information
Practice address
6204 RUSTIC RDG, HOPE MILLS, NC 28348-2711
(910) 574-0966
Mailing address
6204 RUSTIC RDG, HOPE MILLS, NC 28348-2711
(910) 574-0966
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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