Healthcare Provider Details

I. General information

NPI: 1215083316
Provider Name (Legal Business Name): CENTER FOR COMPREHENSIVE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 GOVERNOR HALL RD
CASTALIAN SPRINGS TN
37031-4721
US

IV. Provider business mailing address

PO BOX 2825 306 WEST MILL STREET
CARBONDALE IL
62902-2825
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-5590
  • Fax: 615-451-5591
Mailing address:
  • Phone: 618-529-3060
  • Fax: 618-529-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS CUTLER
Title or Position: CFO
Credential:
Phone: 618-529-3060