Provider Demographics
NPI:1720437684
Name:COMPASS REHAB DBA COMPASS MENTAL HEALTH
Entity type:Organization
Organization Name:COMPASS REHAB DBA COMPASS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ISTRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-788-3330
Mailing Address - Street 1:317 N AVE L
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-4438
Mailing Address - Country:US
Mailing Address - Phone:337-788-3330
Mailing Address - Fax:337-785-8045
Practice Address - Street 1:317 N AVE L
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4438
Practice Address - Country:US
Practice Address - Phone:337-788-3330
Practice Address - Fax:337-785-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital