Organization
CAMBRIDGE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HATTIE FAYE BORDEAUX LCSW (CLINICAL DIRECTOR)
(252) 353-4250
Entity
Organization
Contact information
Practice address
809 W END ST, ROCKY MOUNT, NC 27803-2819
(252) 442-9693
(252) 353-4228
Mailing address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(252) 353-4250
(252) 353-4228
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-064-069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603411
—
NC
Enumeration date
12/13/2006
Last updated
08/22/2020
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