| NPI | 1194896647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M SCOTT Owner 864-295-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC SC8878) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-07-27 |