MEDICARE: COMPREHENSIVE HUMAN SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW25842	CA

General Provider Information

NPI Number	:	1023328531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HUMAN SERVICES INC.

Provider Business Mailing Address
First Line	:	1355 RANCH RD
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-1298
Country	:	US
Telephone Number	:	760-634-1704
Fax Number	:	760-494-7231

Provider Business Practice Location Address
First Line	:	2047 SAN ELIJO AVE # K
Second Line	:
City	:	CARDIFF BY THE SEA
State	:	CA
Zip	:	92007-1726
Country	:	US
Telephone Number	:	760-634-1704
Fax Number	:	760-494-7231

Authorized Official
Title or Position	:	FOUNDER
Name	:	JULIEANN MYERS
Credential	:	LCSW
Telephone Number	:	760-634-1704

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	10/18/2010

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