| Organization Name: | CUMBERLAND MOUNTAIN COMMUNITY SERVICES |
| NPI Number: | 1235125055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY A SMITH (MENTAL HEALTH DIRECTOR) |
| Mailing Address: | Rt 19 460 Cedar Bluff |
| State: | VA US |
| Postal Code: | 24609 |
| Phone Number: | 2769646702 |
| Fax Number: | 2769645669 |
| NPI Enumeration Date: | 09/27/2005 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |