Provider Demographics
NPI:1831591809
Name:COMPASS COMMUNITY SERVICES
Entity type:Organization
Organization Name:COMPASS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN-HEPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:509-990-6560
Mailing Address - Street 1:1103 E SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4154
Mailing Address - Country:US
Mailing Address - Phone:208-660-1709
Mailing Address - Fax:
Practice Address - Street 1:1103 E SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4154
Practice Address - Country:US
Practice Address - Phone:208-660-1709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health