Organization
CAMBRIDGE DAY
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
1705 W 6TH ST, GREENVILLE, NC 27834-2829
(252) 353-4250
(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
251S00000X
Community/Behavioral Health Agency
Primary
COO1908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300611R
—
NC
Enumeration date
12/13/2006
Last updated
08/22/2020
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