Provider Demographics
NPI:1851045686
Name:COMPASS BEHAVIORAL HEALTH, A FAMILY THERAPY CORP
Entity Type:Organization
Organization Name:COMPASS BEHAVIORAL HEALTH, A FAMILY THERAPY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:888-265-9114
Mailing Address - Street 1:12103 REDHILL AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3109
Mailing Address - Country:US
Mailing Address - Phone:888-265-9114
Mailing Address - Fax:714-486-1629
Practice Address - Street 1:130 S B ST
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3609
Practice Address - Country:US
Practice Address - Phone:888-265-9114
Practice Address - Fax:714-486-1629
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS BEHAVIORAL HEALTH, A FAMILY THERAPY CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-10
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty