| NPI | 1205253820 |
|---|---|
| Other Name | BEHAVIORAL MEDICINE SPECIALISTS OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2021-12-14 |