Provider Demographics
NPI:1447057625
Name:COMPLETECARE NURSING BEHAVIORAL GROUP
Entity type:Organization
Organization Name:COMPLETECARE NURSING BEHAVIORAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DUMKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRAGBARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-596-6871
Mailing Address - Street 1:1588 CALLE DE LA FLOR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1588 CALLE DE LA FLOR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2505
Practice Address - Country:US
Practice Address - Phone:614-596-6871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty