Provider Demographics
NPI:1467800953
Name:COMPASSIONATE CARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:COMPASSIONATE CARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZAKIYYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPA
Authorized Official - Phone:336-676-4147
Mailing Address - Street 1:2216 W MEADOWVIEW RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3406
Mailing Address - Country:US
Mailing Address - Phone:336-676-4147
Mailing Address - Fax:336-285-8322
Practice Address - Street 1:2216 W MEADOWVIEW RD
Practice Address - Street 2:SUITE 211
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3406
Practice Address - Country:US
Practice Address - Phone:336-676-4147
Practice Address - Fax:336-285-8322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health