Provider Demographics
NPI:1639225600
Name:CENTER FOR COMPREHENSIVE SERVICES
Entity Type:Organization
Organization Name:CENTER FOR COMPREHENSIVE SERVICES
Other - Org Name:NEURO RESTORATIVE MASSACHUSETTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. BUSINESS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-529-3060
Mailing Address - Street 1:639 GRANITE STREET
Mailing Address - Street 2:SUITE 215
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:781-356-6330
Mailing Address - Fax:781-356-6334
Practice Address - Street 1:13 SUSAN ROAD
Practice Address - Street 2:
Practice Address - City:S. EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1608
Practice Address - Country:US
Practice Address - Phone:508-238-3496
Practice Address - Fax:508-238-3578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital