| NPI | 1043832157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA SWINTON JAMISON Dr/Owner 803-256-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |