Provider Demographics
NPI:1871165126
Name:COMPREHENSIVE EARLY INTERVENTION SERVICES, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE EARLY INTERVENTION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PLAY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-387-2938
Mailing Address - Street 1:217 LOCH HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7351
Mailing Address - Country:US
Mailing Address - Phone:910-387-2938
Mailing Address - Fax:
Practice Address - Street 1:217 LOCH HAVEN RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7351
Practice Address - Country:US
Practice Address - Phone:910-387-2938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health