Organization
COMPASS FAMILY CENTER
Active
Organization
COMPASS FAMILY CENTER
Active
Other names
Intricate Mind Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY J BAKER-ERICZEN PH.D. (DIRECTOR, INTRICATE MIND INSTITUTE)
(616) 446-6936
Entity
Organization
Contact information
Practice address
444 CAMINO DEL RIO S, SUITE # 106, SAN DIEGO, CA 92108-3510
(619) 446-6936
(619) 446-6532
Mailing address
444 CAMINO DEL RIO S, SUITE # 106, SAN DIEGO, CA 92108-3510
(619) 446-6936
(619) 446-6532
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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