Provider Demographics
NPI:1265841738
Name:COMPREHENSIVE COMMUNITY CARE INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF QUALITY ASSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTS-GOWINS
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:919-489-4202
Mailing Address - Street 1:3308 DURHAM CHAPEL HILL BLVD.
Mailing Address - Street 2:BUILDING F
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6200
Mailing Address - Country:US
Mailing Address - Phone:919-402-0323
Mailing Address - Fax:
Practice Address - Street 1:510 WINDCREST DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1374
Practice Address - Country:US
Practice Address - Phone:919-489-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health