Provider Demographics
NPI:1669764148
Name:COMPASS FAMILY SERVICES
Entity type:Organization
Organization Name:COMPASS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KISCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:415-644-0504
Mailing Address - Street 1:49 POWELL ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2849
Mailing Address - Country:US
Mailing Address - Phone:415-644-0504
Mailing Address - Fax:415-644-0514
Practice Address - Street 1:49 POWELL ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2849
Practice Address - Country:US
Practice Address - Phone:415-644-0504
Practice Address - Fax:415-644-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management