Provider Demographics
NPI:1114985413
Name:COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC.
Entity type:Organization
Organization Name:COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SASI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-990-0960
Mailing Address - Street 1:104 JAVIT CT
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2409
Mailing Address - Country:US
Mailing Address - Phone:330-797-4050
Mailing Address - Fax:330-797-4090
Practice Address - Street 1:104 JAVIT CT
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2439
Practice Address - Country:US
Practice Address - Phone:330-797-4050
Practice Address - Fax:330-797-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10986Medicaid
OH10985Medicaid
OH2047396Medicaid
OHKAO466169Medicare ID - Type UnspecifiedDR.'S MEDICARE NUMBER