Organization
COMPASS MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDREW LAZARE (MEMBER MANAGER)
(602) 224-7051
Entity
Organization
Contact information
Practice address
4550 E BELL RD, SUITE 147, PHOENIX, AZ 85032-9306
(602) 445-1565
(602) 288-6000
Mailing address
4550 E BELL RD, SUITE 147, PHOENIX, AZ 85032-9306
(602) 445-1565
(602) 288-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
BH 3143
AZ
261QM0850X
Adult Mental Health Clinic/Center
BH 3143
AZ
261QR0400X
Rehabilitation Clinic/Center
BH 3143
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784729
—
AZ
Enumeration date
02/15/2007
Last updated
10/31/2008
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