Organization
COMPASS ADULT CARE, INC.
Active
Parent organization
ACCESS FAMILY SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACCESS FAMILY SERVICES, INC.
Authorized official
MR. DEREK BULLARD (CEO)
(704) 521-4977
Entity
Organization
Contact information
Practice address
2633 WEST BLVD, CHARLOTTE, NC 28208-6705
(704) 521-4977
(704) 521-8541
Mailing address
PO BOX 19649, CHARLOTTE, NC 28219-9649
(704) 521-4977
(704) 521-8541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005166
—
NC
Enumeration date
12/27/2007
Last updated
12/27/2007
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