Provider Demographics
NPI:1609200799
Name:COMPREHENSIVE NATIONAL RECOVERY SYSTEMS OF SOUTH CAROLINA
Entity Type:Organization
Organization Name:COMPREHENSIVE NATIONAL RECOVERY SYSTEMS OF SOUTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:CHRISTOPHE
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:773-977-4634
Mailing Address - Street 1:20 PELHAM TOWNES DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4073
Mailing Address - Country:US
Mailing Address - Phone:773-977-4634
Mailing Address - Fax:
Practice Address - Street 1:20 PELHAM TOWNES DRIVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:773-977-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCASE MANAGEMENT251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management