Organization
COMPOSS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EARTHA JACKSON (BILLING SPECIALIST)
(602) 633-6237
Entity
Organization
Contact information
Practice address
4550 E BELL RD, 147, PHOENIX, AZ 85032-9306
(602) 633-6200
Mailing address
4550 E BELL RD, 147, PHOENIX, AZ 85032-9306
(602) 633-6200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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