| NPI | 1003302795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO J GONZALEZ Owner 803-534-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 180888) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |