Organization Name: | RUTH C. COMPTON |
NPI Number: | 1205233319 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTH C. COMPTON (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 126 Data Bush Dr Inman |
State: | SC US |
Postal Code: | 293498404 |
Phone Number: | 8643165910 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |