Provider Demographics
NPI:1720334170
Name:COMPREHENSIVE MENTAL HEALTH
Entity type:Organization
Organization Name:COMPREHENSIVE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PEER COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:253-405-5961
Mailing Address - Street 1:4645 N BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2014
Mailing Address - Country:US
Mailing Address - Phone:253-405-5961
Mailing Address - Fax:253-383-5548
Practice Address - Street 1:1305 TACOMA AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-1903
Practice Address - Country:US
Practice Address - Phone:253-405-5961
Practice Address - Fax:253-383-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60299337251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health