Provider Demographics
NPI:1154449205
Name:COMPASS POINT WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:COMPASS POINT WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR PSYCOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:307-638-4092
Mailing Address - Street 1:1901 CENTRAL AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3759
Mailing Address - Country:US
Mailing Address - Phone:307-638-4092
Mailing Address - Fax:307-433-8785
Practice Address - Street 1:1901 CENTRAL AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3759
Practice Address - Country:US
Practice Address - Phone:307-638-4092
Practice Address - Fax:307-433-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness