Organization
COMPREHENSIVE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASI KAZA (ADMINISTRATOR)
(330) 797-4050
Entity
Organization
Contact information
Practice address
321 W 5TH ST, EAST LIVERPOOL, OH 43920-2849
(330) 385-8800
Mailing address
321 W 5TH ST, EAST LIVERPOOL, OH 43920-2849
(330) 385-8800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35042814
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98761234
MEDICARE QMB
—
Enumeration date
03/02/2011
Last updated
03/02/2011
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