| NPI | 1124357322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA D TOLLISON Business Manager 864-331-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |