Provider Demographics
NPI:1013525948
Name:COMP SERV HEALTH RESOURCES INTERNATIONAL
Entity Type:Organization
Organization Name:COMP SERV HEALTH RESOURCES INTERNATIONAL
Other - Org Name:COMPSERV HEALTH RESOURCES INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIANG
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:910-352-0733
Mailing Address - Street 1:101 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2924
Mailing Address - Country:US
Mailing Address - Phone:888-751-3730
Mailing Address - Fax:
Practice Address - Street 1:1436 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-7018
Practice Address - Country:US
Practice Address - Phone:888-751-3730
Practice Address - Fax:502-792-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management