| NPI | 1053141093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILE BARROUK Owner/Authorized Official 864-214-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-01-28 |