| Cumberland Associates Inc. | |
|
120 Courthouse Square Toledo IL 62468-9998 | |
| (217) 849-3803 | |
| (217) 849-3804 |
| Full Name | Cumberland Associates Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Courthouse Square, Toledo, Illinois |
| Authorized Official Name and Position | Deborah A Matthew (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2178493803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Associates Inc. 120 Courthouse Square Po Box 385 Toledo IL 62468-9998 Ph: (217) 849-3803 | Cumberland Associates Inc. 120 Courthouse Square Toledo IL 62468-9998 Ph: (217) 849-3803 |
| NPI Number | 1750658001 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750658001 | NPI | - | NPPES |
| 1164633012 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Care Horizon Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Courthouse Square, Toledo, IL 62468 Phone: 217-849-3803 Fax: 217-849-3804 |