Organization Name: | COMPREHENSIVE MENTAL HEALTH SERVICES, LLC |
NPI Number: | 1811368038 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUDOLPH MOISE (PRESIDENT/CEO) |
Mailing Address: | 650 Nw 120th St North Miami |
State: | FL US |
Postal Code: | 331682529 |
Phone Number: | 3056884178 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | OS4440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |