Provider Demographics
NPI: | 1346413911 |
---|---|
Name: | C & B SUPPORT SERVICES, INC. |
Entity type: | Organization |
Organization Name: | C & B SUPPORT SERVICES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CUELLAR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 828-273-8339 |
Mailing Address - Street 1: | 1 TOWN SQUARE BLVD STE 265 |
Mailing Address - Street 2: | |
Mailing Address - City: | ASHEVILLE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28803-5024 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-273-8339 |
Mailing Address - Fax: | 828-654-0694 |
Practice Address - Street 1: | 1 TOWN SQUARE BLVD STE 265 |
Practice Address - Street 2: | |
Practice Address - City: | ASHEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28803-5024 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-273-8339 |
Practice Address - Fax: | 828-654-0694 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-04-03 |
Last Update Date: | 2011-08-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 36322 | Other | WESTERN HIGHLANDSNETWORK |