Basic Information
| Provider Information | |||||||||
| NPI: | 1740426667 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMPREHENSIVE EDUCATIONAL SERVICES INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ACES INC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3731 6TH AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921034383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6192780884 | ||||||||
| FaxNumber: | 6194972410 | ||||||||
| Practice Location | |||||||||
| Address1: | 4541 E ANAHEIM ST | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908043119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146160492 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/23/2008 | ||||||||
| LastUpdateDate: | 12/23/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | JACOBS | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF ADMINISTRATION | ||||||||
| AuthorizedOfficialTelephone: | 6192987198 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 23595 LCSW | CA | N | Agencies | Community/Behavioral Health | 251S00000X | 44928 LMFT | CA | Y | Agencies | Community/Behavioral Health |
No ID Information.