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CENTER FOR COMPREHENSIVE SERVICES INC NPI 1912487976


NPI Information

NPI: 1912487976
Provider Name: CENTER FOR COMPREHENSIVE SERVICES, INC

Doing Business As: NEURORESTORATIVE, ILLINOIS

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 14D1082994

Address:
306 W MILL ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 319-4883
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CENTER FOR COMPREHENSIVE SERVICES, INC is a residential treatment facility emotionally disturbed children in Carbondale, IL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CENTER FOR COMPREHENSIVE SERVICES, INC NPI is 1912487976. The provider is registered as an organization entity type.
The provider Is Doing Business As Neurorestorative, Illinois.

The provider's business location address is:

306 W MILL ST
CARBONDALE, IL
ZIP 62901-727
Phone: (618) 319-4883

The provider's authorized official is Sergio P Cruz .
The authorized official title is Cfo and has the following contact phone number (781) 708-9444.

The CLIA number assigned to this NPI record is 14D1082994 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 8/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children4000021ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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