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NPI 1336697614

NPI 1336697614 : COMPREHENSIVE CARE NETWORK, LTD LIABILITY CO. : EDISON, NJ

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General NPI Number Information
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    NPI Number           |    1336697614
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE CARE NETWORK, LTD LIABILITY CO. 
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Dates
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    Enumeration Date     |    09/15/2016
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    100 PLAINFIELD AVE STE 8C 
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    City                 |    EDISON
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    State                |    NJ
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    Zip                  |    08817-6701
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    Country              |    US
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    Telephone            |    855-374-7816
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    Fax                  |    855-374-7827
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Provider Business Mailing Address
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    Address Line         |    100 PLAINFIELD AVE STE 8C 
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    City                 |    EDISON
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    State                |    NJ
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    Zip                  |    08817-6701
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    Country              |    US
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    Telephone            |    855-374-7816
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    Fax                  |    855-374-7827
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     MARIE  SAINTELMY 
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    Credential           |    MPH
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    Telephone            |    855-374-7816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TM1800X
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    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
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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        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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 #8
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    385HR2065X
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    Taxonomy Name        |    Child Physical Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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