Provider Demographics
NPI:1326595885
Name:COMPREHENSIVE ADDICTION TREATMENT PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE ADDICTION TREATMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-890-9871
Mailing Address - Street 1:PO BOX 5426
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-7505
Mailing Address - Country:US
Mailing Address - Phone:304-929-6930
Mailing Address - Fax:
Practice Address - Street 1:96 LAMPLIGHTER ST
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-9512
Practice Address - Country:US
Practice Address - Phone:681-823-5550
Practice Address - Fax:681-823-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21522207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty