| NPI | 1205670122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLETA NISTOR Owner 864-964-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2026-06-18 |