| NPI | 1336387778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH C POLLOCK Sole Proprietor 803-563-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 28154) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2017-11-16 |