Organization
COMPASS ADULT CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BULLARD (CEO)
(704) 521-4977
Entity
Organization
Contact information
Practice address
2633 WEST BLVD, CHARLOTTE, NC 28208-6705
(704) 521-4977
Mailing address
PO BOX 19649, CHARLOTTE, NC 28219-9649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300865
—
NC
Enumeration date
12/01/2006
Last updated
08/22/2020
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