| NPI | 1235478355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILT A LOWDER President 864-239-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1029) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: SC 1194) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: SC 34500) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |