Organization
COMPREHENSIVE COMMUNITY SERVICES, INC
Active
Other names
CCS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REVE MCDAVID (PRESIDENT)
(423) 928-6581
Entity
Organization
Contact information
Practice address
2514 1/2 WESLEY ST, SUITE 5, JOHNSON CITY, TN 37601-1752
(423) 928-6581
(423) 928-6215
Mailing address
2514 1/2 WESLEY ST, SUITE 5, JOHNSON CITY, TN 37601-1752
(423) 928-6581
(423) 928-6215
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000000002949
TN
3245S0500X
Children's Substance Abuse Rehabilitation Facility
1000000002949
TN
Other
Enumeration date
11/04/2008
Last updated
12/02/2014
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