| Organization Name: | COMPREHENSIVE BEHAVIORAL HEALTH CARE, INC. |
| NPI Number: | 1013018266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE VERNON TUCKER (CEO) |
| Mailing Address: | 1396 N Waterman Ave Suite #110 San Bernardino |
| State: | CA US |
| Postal Code: | 924045313 |
| Phone Number: | 8006783127 |
| Fax Number: | 8009298557 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | A84067 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |