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NPI Code Detail

MEDICARE: COMPREHENSIVE INTERVENTIONS INC

MEDICARE: COMPREHENSIVE INTERVENTIONS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMHL-058-024NC

General Provider Information

NPI Number : 1366737298
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE INTERVENTIONS INC
Provider Business Mailing Address
First Line : PO BOX 1216
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-1216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 607 WASHINGTON ST
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-2645
Country : US
Telephone Number : 252-792-8035
Fax Number : 252-792-8045
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DESIREE RODGERS
Credential :
Telephone Number : 252-792-8035
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “COMPREHENSIVE INTERVENTIONS INC ” Practice Location

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