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COMPREHENSIVE COMMUNITY SERVICES INC NPI 1134372162


NPI Information

NPI: 1134372162
Provider Name: COMPREHENSIVE COMMUNITY SERVICES, INC

Other Name: CCS

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2514 1/2 WESLEY ST
SUITE 5
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-6581
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COMPREHENSIVE COMMUNITY SERVICES, INC is a substance abuse rehabilitation facility in Johnson City, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COMPREHENSIVE COMMUNITY SERVICES, INC NPI is 1134372162. The provider is registered as an organization entity type.
The provider Other Name Is Ccs.

The provider's business location address is:

2514 1/2 WESLEY ST
SUITE 5
JOHNSON CITY, TN
ZIP 37601-752
Phone: (423) 928-6581
Fax: (423) 928-6215

The provider's authorized official is Reve Mcdavid .
The authorized official title is President and has the following contact phone number (423) 928-6581.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 12/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1000000002949TENNESSEENo
2324500000XSubstance Abuse Rehabilitation Facility1000000002949TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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