Organization
CAROLINA COMPREHENSIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONDAH TIANGAI PARKINSON (OWNER,CLINICAL DIRECTOR)
(704) 507-7674
Entity
Organization
Contact information
Practice address
312 W MILLBROOK RD, SUITE 137, RALEIGH, NC 27609-4389
(919) 847-0550
(919) 847-0599
Mailing address
312 W MILLBROOK RD, SUITE 137, RALEIGH, NC 27609-4389
(919) 847-0550
(919) 847-0599
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301511
—
NC
05
—
8301571
—
NC
Enumeration date
02/26/2007
Last updated
07/01/2009
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