Provider Demographics
NPI:1346018348
Name:MORRISEY COMPTON EDUCATIONAL CENTER, INC.
Entity Type:Organization
Organization Name:MORRISEY COMPTON EDUCATIONAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRENTAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-332-5910
Mailing Address - Street 1:595 PRICE AVENUE SUITE 100
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-322-5910
Mailing Address - Fax:
Practice Address - Street 1:595 PRICE AVENUE SUITE 100
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-322-5910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISEY COMPTON EDUCATIONAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty