Provider Demographics
NPI:1124217500
Name:COMPREHENSIVE THERAPY SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-475-2400
Mailing Address - Street 1:4702 ROWLETT RD
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1703
Mailing Address - Country:US
Mailing Address - Phone:972-475-2400
Mailing Address - Fax:972-475-4343
Practice Address - Street 1:4702 ROWLETT RD
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1703
Practice Address - Country:US
Practice Address - Phone:972-475-2400
Practice Address - Fax:972-475-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services