MEDICARE: COMPREHENSIVE SOLUTIONS OF NORTH CAROLINA, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1811134422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE SOLUTIONS OF NORTH CAROLINA, INC.

Provider Business Mailing Address
First Line	:	121 S QUEEN ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-4934
Country	:	US
Telephone Number	:	252-523-2600
Fax Number	:	252-523-2609

Provider Business Practice Location Address
First Line	:	121 S QUEEN ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-4933
Country	:	US
Telephone Number	:	252-523-2600
Fax Number	:	252-523-2609

Authorized Official
Title or Position	:	CFO
Name	:	MR. OMAR M. SKINNER
Credential	:
Telephone Number	:	252-523-2600

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	03/24/2010

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