Provider Demographics
NPI:1225347156
Name:COMPREHENSIVE BEHAVIORAL
Entity Type:Organization
Organization Name:COMPREHENSIVE BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-827-1341
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:PINETOPS
Mailing Address - State:NC
Mailing Address - Zip Code:27864-0532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 N. FIRST ST
Practice Address - Street 2:
Practice Address - City:PINETOPS
Practice Address - State:NC
Practice Address - Zip Code:27864-9805
Practice Address - Country:US
Practice Address - Phone:252-827-1341
Practice Address - Fax:252-827-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health