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General NPI Number Information
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NPI Number | 1902023526
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Entity Type | Organization
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Legal Business Name | CUMBERLAND RIVER BEHAVIORAL HEALTH, INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1203 AMERICAN GREETING RD
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City | CORBIN
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State | KY
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Zip | 40701-4811
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Country | US
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Telephone | 606-528-7010
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Fax | 606-528-5401
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Provider Business Mailing Address
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Address Line | PO BOX 568
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City | CORBIN
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State | KY
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Zip | 40702-0568
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Country | US
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Telephone | 606-528-7010
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Fax | 606-528-5401
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Authorized Official
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Title or Position | CEO
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Name | MATT KEENE
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Credential | LCSW
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Telephone | 606-528-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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