Organization
CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES& TRAINING
Active
Other names
CREST
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE K. PATTERSON (EXECUTIVE DIRECTOR)
(910) 487-3131
Entity
Organization
Contact information
Practice address
245 TILLINGHAST ST, FAYETTEVILLE, NC 28301-4747
(910) 487-3131
(910) 487-0637
Mailing address
PO BOX 877, FAYETTEVILLE, NC 28302-0877
(910) 487-3131
(910) 487-0637
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-026-639
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-640
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-641
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-642
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804519
—
NC
05
—
7804520
—
NC
05
—
7804521
—
NC
05
—
7804522
—
NC
05
—
7804523
—
NC
Enumeration date
02/14/2007
Last updated
07/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us