Provider Demographics
NPI:1043767247
Name:COMPREHENSIVE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:RATLIFF DUNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-538-2176
Mailing Address - Street 1:6512 SIX FORKS RD
Mailing Address - Street 2:STE # 402
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:407-538-2176
Mailing Address - Fax:
Practice Address - Street 1:6512 SIX FORKS RD
Practice Address - Street 2:STE # 402
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6561
Practice Address - Country:US
Practice Address - Phone:407-538-2176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health