Provider Demographics
NPI:1134456908
Name:COMPREHENSIVE TREATMENT SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE TREATMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-324-3757
Mailing Address - Street 1:8900 EDGEWORTH DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-3731
Mailing Address - Country:US
Mailing Address - Phone:301-324-3757
Mailing Address - Fax:301-324-3046
Practice Address - Street 1:8900 EDGEWORTH DR
Practice Address - Street 2:SUITE C
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3731
Practice Address - Country:US
Practice Address - Phone:301-324-3757
Practice Address - Fax:301-324-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty