| NPI | 1013420504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHIR I SHAH Medical Director Psychiatrist 803-372-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 21001) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-04-28 |