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General NPI Number Information
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NPI Number | 1043595358
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPREHENSIVE SERVICES, INC.
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 2769 WHITNEY RD
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City | CLEARWATER
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State | FL
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Zip | 33760-1610
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Country | US
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Telephone | 727-213-3833
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Fax | 727-235-1470
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Provider Business Mailing Address
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Address Line | 980 WASHINGTON ST STE 306
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City | DEDHAM
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State | MA
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Zip | 02026-6797
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Country | US
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Telephone | 781-708-9444
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & SR. ASST. GC
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Name | MARY PATRICIA RODENBERG-ROBERTS
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Credential |
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Telephone | 952-836-2234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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