Provider Demographics
NPI:1437692522
Name:COMPREHENSIVE RECOVERY SERVICE, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE RECOVERY SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT ASSESSMENT COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CADC
Authorized Official - Phone:616-522-0687
Mailing Address - Street 1:215 W MAIN ST
Mailing Address - Street 2:PO BOX 75
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-1638
Mailing Address - Country:US
Mailing Address - Phone:616-522-0687
Mailing Address - Fax:
Practice Address - Street 1:215 W MAIN ST
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-1638
Practice Address - Country:US
Practice Address - Phone:616-522-0687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0340040251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health