Provider Demographics
NPI:1144392028
Name:COMPREHENSIVE REHABILITARIAN CENTERS INC
Entity type:Organization
Organization Name:COMPREHENSIVE REHABILITARIAN CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LILA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-782-0380
Mailing Address - Street 1:216 W MORRELL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203
Mailing Address - Country:US
Mailing Address - Phone:517-782-0380
Mailing Address - Fax:517-782-6275
Practice Address - Street 1:216 W MORRELL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203
Practice Address - Country:US
Practice Address - Phone:517-782-0380
Practice Address - Fax:517-782-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered273Y00000XHospital UnitsRehabilitation Unit
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities