Crest

LBN: Cumberland Residential & Employment Services & Training
Crest is an health care organization with primary practice located at 250 Prince Charles Dr , Fayetteville NC 28311-0834. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Cumberland Residential & Employment Services & Training can be contacted via phone (910) 487-3131, or through Patterson, Dwayne K. via phone (910) 487-3131.

Contact Information

Primary practice address
250 Prince Charles Dr Fayetteville NC 28311-0834
Phone: (910) 487-3131
Fax: (910) 487-0637
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Dwayne K.
Phone: (910) 487-3131

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-026-643 North Carolina

Profile Details

NPI number 1659415677
LBN Legal business name Cumberland Residential & Employment Services & Training
DBA Doing business as Crest
Authorized official Patterson, Dwayne K.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659415677 NPPES
North Carolina MEDICAID 7804519

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