| NPI | 1174286348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY ANDREWS President 843-913-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-11-15 |