Organization
CUMBERLAND MOUNTAIN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAILEN BAKER DNP (OWNER)
(606) 401-3185
Entity
Organization
Contact information
Practice address
323 MAIN ST, WILLIAMSBURG, KY 40769-1123
(606) 825-6011
Mailing address
67 CANYON DR, LONDON, KY 40741-7829
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/03/2022
Last updated
07/31/2024
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