# COMPREHENSIVE CARE OF GEORGIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083362842
- **Authorized official:** MISS KYLE STELLBAUER (CFO)
- **Authorized official phone:** (678) 347-2153

## Contact information

- **Practice address:** 5400 LAUREL SPRINGS PKWY STE 1404, SUWANEE, GA 30024-6098
- **Practice address phone:** (678) 347-2153
- **Mailing address:** 5400 LAUREL SPRINGS PKWY STE 1404, SUWANEE, GA 30024-6098
- **Mailing address phone:** (678) 347-2153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 03/11/2022