Provider Demographics
NPI:1518210905
Name:COMPREHENSIVE LIFE RESOURCES
Entity type:Organization
Organization Name:COMPREHENSIVE LIFE RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEET
Authorized Official - Suffix:
Authorized Official - Credentials:BSW,MS,FORENSICS
Authorized Official - Phone:253-254-3878
Mailing Address - Street 1:10122 SALES RD S
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-8770
Mailing Address - Country:US
Mailing Address - Phone:253-254-3878
Mailing Address - Fax:
Practice Address - Street 1:10122 SALES RD S
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-8770
Practice Address - Country:US
Practice Address - Phone:253-254-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency