Organization Name: | COMPREHENSIVE HEALTH AND FAMILY SERVICES |
NPI Number: | 1003120478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEROME YELDER (PRESIDENT) |
Mailing Address: | 5711 Main St Columbia |
State: | SC US |
Postal Code: | 292036222 |
Phone Number: | 8035724172 |
Fax Number: | 8037089614 |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |