Organization Name: | COMPASS BEHAVIORAL CENTER OF HOUMA, INC. |
NPI Number: | 1013908839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE DILL (COMPLIANCE OFFICER) |
Mailing Address: | 6472 W Main St Houma |
State: | LA US |
Postal Code: | 703602265 |
Phone Number: | 9852230161 |
Fax Number: | 9852230162 |
NPI Enumeration Date: | 11/01/2005 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 194687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |