Provider Demographics
NPI:1275663148
Name:COMPREHENSIVE FAMILY CARE/CFC INC
Entity type:Organization
Organization Name:COMPREHENSIVE FAMILY CARE/CFC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:DIONNE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:404-399-1366
Mailing Address - Street 1:2055 GEES MILL RD NE STE 315
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1364
Mailing Address - Country:US
Mailing Address - Phone:404-585-7533
Mailing Address - Fax:
Practice Address - Street 1:2055 GEES MILL RD NE STE 315
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1364
Practice Address - Country:US
Practice Address - Phone:404-585-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACI0000012125322D00000X
324500000X, 101YM0800X, 103K00000X, 261QM0850X, 261QM0855X, 320800000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed ChildrenGroup - Single Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness