| Compass Adult Care, Inc | |
|
2633 West Blvd Charlotte NC 28208-6705 | |
| (704) 521-4977 | |
| Not Available |
| Full Name | Compass Adult Care, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2633 West Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Derek Bullard (CEO) |
| Authorized Official Contact | 7045214977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Adult Care, Inc Po Box 19649 Charlotte NC 28219-9649 Ph: () - | Compass Adult Care, Inc 2633 West Blvd Charlotte NC 28208-6705 Ph: (704) 521-4977 |
| NPI Number | 1386712784 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386712784 | NPI | - | NPPES |
| 8300865 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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