Provider Demographics
NPI:1508222613
Name:COMPREHENSIVE EMPOWERMENT GROUP, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE EMPOWERMENT GROUP, INC.
Other - Org Name:WELLNESS, REDEMPTION, & REHABILITATION PROGRAM, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-816-2777
Mailing Address - Street 1:2881 S. VALLEY VIEW BLVD.
Mailing Address - Street 2:11
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0173
Mailing Address - Country:US
Mailing Address - Phone:702-385-9097
Mailing Address - Fax:702-750-2147
Practice Address - Street 1:2881 S VALLEY VIEW BLVD
Practice Address - Street 2:11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0100
Practice Address - Country:US
Practice Address - Phone:702-816-2777
Practice Address - Fax:702-750-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVE0854852007-4251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable