| NPI | 1194994020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE COOPEY Owner 843-452-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 701) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |