| NPI | 1295930964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK B MULLEN Owner 864-232-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 8780) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-08-14 |