NPI | 1275056616 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD CANNON PHELPS Owner/Psychiatrist 843-870-2779 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS12896) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2019-09-03 |