Provider Demographics
NPI:1962028472
Name:COMPREHENSIVE FAMILY AND COMMUNITY SERVICES, LIMITED
Entity Type:Organization
Organization Name:COMPREHENSIVE FAMILY AND COMMUNITY SERVICES, LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASUZU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-966-9607
Mailing Address - Street 1:2411 WATERTON CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3499
Mailing Address - Country:US
Mailing Address - Phone:404-966-9607
Mailing Address - Fax:
Practice Address - Street 1:2411 WATERTON CT NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-3499
Practice Address - Country:US
Practice Address - Phone:404-966-9607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty