Provider Demographics
NPI:1336330802
Name:COMPASSION PSYCHOCULTURAL CENTER
Entity Type:Organization
Organization Name:COMPASSION PSYCHOCULTURAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:229-435-6144
Mailing Address - Street 1:1112 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1910
Mailing Address - Country:US
Mailing Address - Phone:229-435-6144
Mailing Address - Fax:229-435-9355
Practice Address - Street 1:1112 N MADISON ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1910
Practice Address - Country:US
Practice Address - Phone:229-435-6144
Practice Address - Fax:229-435-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D46262Medicare UPIN