| NPI | 1144389214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR WILLIAM ROSS President 843-884-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 313) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 674) |
| 103TC0700X Psychologist, Clinical (Licence: SC 325) | |
| 103TS0200X Psychologist, School (Licence: SC 296) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |