Basic Information
| Provider Information | |||||||||
| NPI: | 1396324422 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMPREHENSIVE PSYCHIATRIC SOLUTIONS, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1450 W LONG LAKE RD STE 340 | ||||||||
| Address2: | |||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480986330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489055091 | ||||||||
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| Practice Location | |||||||||
| Address1: | 801 SENECA ST | ||||||||
| Address2: | |||||||||
| City: | VENTURA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930011411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056536434 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2021 | ||||||||
| LastUpdateDate: | 04/06/2021 | ||||||||
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| AuthorizedOfficialLastName: | ATTAR | ||||||||
| AuthorizedOfficialFirstName: | HANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED REPRESENTATIVE | ||||||||
| AuthorizedOfficialTelephone: | 2489055091 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0802X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry |
No ID Information.