Provider Demographics
NPI:1710769625
Name:COMPTON, DARRELL
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:
Last Name:COMPTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 RUSHLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1413
Mailing Address - Country:US
Mailing Address - Phone:240-876-3521
Mailing Address - Fax:
Practice Address - Street 1:UPRISE BEHAVIORAL HEALTH LLC.
Practice Address - Street 2:5 SEVERANCE CIRCLE STE 201
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-785-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty