| NPI | 1013321744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH DANIELLE FRYML Resident Physician, Dept Of Psychia 843-900-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 37174) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: SC LL37174) |
| 283Q00000X Psychiatric Hospital (Licence: SC LL37174) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2016-02-08 |