Organization
COMPREHENSIVE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REVE MCDAVID (PRESIDENT)
(423) 928-6581
Entity
Organization
Contact information
Practice address
6145 TEMPLE STAR RD, KINGSPORT, TN 37660-8028
(423) 928-6581
(423) 928-6215
Mailing address
321 W WALNUT ST, JOHNSON CITY, TN 37604-6774
(423) 928-6581
(423) 928-6215
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0000000101
TN
Other
Enumeration date
08/26/2005
Last updated
08/22/2020
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