Provider Demographics
NPI:1194195586
Name:CENTER FOR COMPREHENSIVE SERVICES, INC
Entity Type:Organization
Organization Name:CENTER FOR COMPREHENSIVE SERVICES, INC
Other - Org Name:NEURORESTORATIVE KENTUCKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-529-3060
Mailing Address - Street 1:PO BOX 2825
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62902-2825
Mailing Address - Country:US
Mailing Address - Phone:618-529-3060
Mailing Address - Fax:
Practice Address - Street 1:2150 CARTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7734
Practice Address - Country:US
Practice Address - Phone:501-707-3264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital