Healthcare Provider Details

I. General information

NPI: 1609084821
Provider Name (Legal Business Name): PARTNERS IN HEALTH MANAGEMENT OF CUMBERLAND COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 10/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 FORT BRAGG RD SUITE 4
FAYETTEVILLE NC
28303-7041
US

IV. Provider business mailing address

2000 FORT BRAGG RD SUITE 4
FAYETTEVILLE NC
28303-7041
US

V. Phone/Fax

Practice location:
  • Phone: 910-223-3126
  • Fax: 910-223-3127
Mailing address:
  • Phone: 910-223-3126
  • Fax: 910-223-3127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA FAYE MCPHATTER
Title or Position: CEO
Credential:
Phone: 910-223-3126