Organization
CUMBERLAND ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A MATTHEW (EXECUTIVE DIRECTOR)
(217) 849-3803
Entity
Organization
Contact information
Practice address
120 COURTHOUSE SQUARE, TOLEDO, IL 62468-9998
(217) 849-3803
(217) 849-3804
Mailing address
120 COURTHOUSE SQUARE, PO BOX 385, TOLEDO, IL 62468-9998
(217) 849-3803
(217) 849-3804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164633012
—
IL
Enumeration date
11/30/2011
Last updated
11/30/2011
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