Provider Demographics
NPI:1811264773
Name:COMPREHENSIVE RECOVERY SERVICES, INC.
Entity type:Organization
Organization Name:COMPREHENSIVE RECOVERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FLOHR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CAADC
Authorized Official - Phone:616-522-0687
Mailing Address - Street 1:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-0075
Mailing Address - Country:US
Mailing Address - Phone:616-522-0687
Mailing Address - Fax:616-522-0725
Practice Address - Street 1:215 W MAIN ST
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-1638
Practice Address - Country:US
Practice Address - Phone:616-522-0687
Practice Address - Fax:616-522-0725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0340040251S00000X
MI6301014418103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty