| NPI | 1194979401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PAOLINI Owner 803-649-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: SC DO 341) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |