| Organization Name: | PATRICIA COMPOS |
| NPI Number: | 1003244732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA L COMPOS (OPWNER/PSYCHOLOGIST) |
| Mailing Address: | 2514 Biddle Ave Wyandotte |
| State: | MI US |
| Postal Code: | 481927891 |
| Phone Number: | 7345588643 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2013 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 6301012050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |