| Organization Name: | COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC. |
| NPI Number: | 1033268859 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KOTESWARA R. KAZA (MEDICAL DIRECTOR AND OWNER) |
| Mailing Address: | 104 Javit Ct Austintown |
| State: | OH US |
| Postal Code: | 445152409 |
| Phone Number: | 3307974050 |
| Fax Number: | 3307974090 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 965575 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |