| NPI | 1245435023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EARL LEE President 803-329-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: LA 200914) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: SC 25823) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 25823) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 200914) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-09-11 |