Provider Demographics
NPI:1619384021
Name:COMPREHENSIVE COMMUNITY CARE INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF QUALITY ASSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTS-GOWINS
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:919-489-4202
Mailing Address - Street 1:3308 DURHAM CHAPEL HILL BLVD
Mailing Address - Street 2:BLDG F
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2694
Mailing Address - Country:US
Mailing Address - Phone:919-489-4202
Mailing Address - Fax:919-402-9435
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:UNIT 700D
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:919-969-0036
Practice Address - Fax:919-402-9435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL032590251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health