Provider Demographics
NPI:1750664447
Name:COMPREHENSIVE HEALTH SERVICES, INC
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:703-760-0700
Mailing Address - Street 1:10701 PARKRIDGE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-4359
Mailing Address - Country:US
Mailing Address - Phone:703-760-0700
Mailing Address - Fax:
Practice Address - Street 1:10701 PARKRIDGE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-4359
Practice Address - Country:US
Practice Address - Phone:703-760-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management