Healthcare Provider Details

I. General information

NPI: 1144392028
Provider Name (Legal Business Name): COMPREHENSIVE REHABILITARIAN CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W MORRELL ST SUITE 200
JACKSON MI
49203
US

IV. Provider business mailing address

216 W MORRELL ST SUITE 200
JACKSON MI
49203
US

V. Phone/Fax

Practice location:
  • Phone: 517-782-0380
  • Fax: 517-782-6275
Mailing address:
  • Phone: 517-782-0380
  • Fax: 517-782-6275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MS. LILA JEAN SCOTT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 517-782-0380