| NPI | 1205548021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELINDA STOKES Psychiatric Nurse Practitioner 803-942-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |