| NPI | 1326115031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE HUNT Executive Director 803-796-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 7166) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 815) |
| 1041C0700X Social Worker, Clinical (Licence: SC 4924) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 46841) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 89467) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 11630) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 13334) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 10370) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-10-30 |