| NPI | 1275581381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M RATLIFF Physician 803-642-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 13835) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |