| NPI | 1104032341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARCINO Owner 843-573-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 23890) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |