Provider Demographics
NPI:1649825449
Name:COMPASS THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:COMPASS THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMILOLUWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OJURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-683-6582
Mailing Address - Street 1:227 SAINT MICHAELS CIR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1074
Mailing Address - Country:US
Mailing Address - Phone:443-683-6582
Mailing Address - Fax:667-239-3146
Practice Address - Street 1:100 E PATAPSCO AVE STE E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-1733
Practice Address - Country:US
Practice Address - Phone:667-239-3144
Practice Address - Fax:667-239-3146
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS HEALTH SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)