Organization
CASCADE BEHAVIORAL TREATMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA TERESA WILLIAMS MS,LCAS (DIRECTOR)
(252) 758-2065
Entity
Organization
Contact information
Practice address
325 CLIFTON ST, GREENVILLE, NC 27858-5005
(252) 758-2065
(252) 758-2084
Mailing address
PO BOX 8344, GREENVILLE, NC 27835-8344
(252) 758-2065
(252) 758-2084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL-074-155
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-074-155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005919
—
NC
05
—
6604056
—
NC
05
—
8300208
—
NC
Enumeration date
08/19/2006
Last updated
08/05/2009
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