Provider Demographics
NPI:1942310529
Name:COMPEVAL AND TREATMENT SERVICES LLC
Entity Type:Organization
Organization Name:COMPEVAL AND TREATMENT SERVICES LLC
Other - Org Name:COMPEVAL & TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, ACSW
Authorized Official - Phone:401-284-1522
Mailing Address - Street 1:3657 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7238
Mailing Address - Country:US
Mailing Address - Phone:401-284-1522
Mailing Address - Fax:401-284-2515
Practice Address - Street 1:3657 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7238
Practice Address - Country:US
Practice Address - Phone:401-284-1522
Practice Address - Fax:401-284-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW001081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty