Provider Demographics
NPI:1477804938
Name:COMPUTER INFORMATION SERVICES & HEALTHCARE INC.
Entity Type:Organization
Organization Name:COMPUTER INFORMATION SERVICES & HEALTHCARE INC.
Other - Org Name:CIS&H INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBEDWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-508-3244
Mailing Address - Street 1:PO BOX 6854
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20792-6854
Mailing Address - Country:US
Mailing Address - Phone:240-508-3244
Mailing Address - Fax:301-364-3306
Practice Address - Street 1:1839 BRIGHTSEAT RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4250
Practice Address - Country:US
Practice Address - Phone:240-508-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty