=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952505703
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPREHENSIVE HUMAN SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 N PROVIDENCE RD STE. 200
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65203-4300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-875-0503
-----------------------------------------------------
Fax | 573-875-0518
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1367
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65205-1367
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-875-0503
-----------------------------------------------------
Fax | 573-875-0518
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MS. ELIZABETH LEIGH VOLTMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 573-875-0503
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number | 12522805
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------