Healthcare Provider Details

I. General information

NPI: 1841867223
Provider Name (Legal Business Name): COMPREHENSIVE TREATMENT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2021
Last Update Date: 06/05/2021
Certification Date: 06/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 E LAUREL RD
STRATFORD NJ
08084-1324
US

IV. Provider business mailing address

119 E LAUREL RD
STRATFORD NJ
08084-1324
US

V. Phone/Fax

Practice location:
  • Phone: 856-889-2281
  • Fax:
Mailing address:
  • Phone: 856-889-2281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. EVELYN KINYUY NGWA
Title or Position: CEO
Credential: DNP
Phone: 856-889-7287