Organization
COMPASSIONATECARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA A EASA (DIRECTOR)
(610) 624-5936
Entity
Organization
Contact information
Practice address
20 N FRONT ST, BALLY, PA 19503-9605
(610) 624-5936
(119) 433-9648
Mailing address
20 N FRONT ST, BALLY, PA 19503-9605
(610) 570-7604
(119) 433-9648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/02/2020
Last updated
06/03/2024
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