Provider Demographics
NPI:1306008529
Name:COMPREHENSIVE SERVICES OF N.C., INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE SERVICES OF N.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WEYLING
Authorized Official - Middle Name:JOSSLIN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-575-8962
Mailing Address - Street 1:1104 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCOTLAND NECK
Mailing Address - State:NC
Mailing Address - Zip Code:27874-1258
Mailing Address - Country:US
Mailing Address - Phone:252-826-4100
Mailing Address - Fax:252-826-4401
Practice Address - Street 1:1104 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCOTLAND NECK
Practice Address - State:NC
Practice Address - Zip Code:27874-1258
Practice Address - Country:US
Practice Address - Phone:252-826-4100
Practice Address - Fax:252-826-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization