| NPI | 1336461607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JASON BUCKLAND Owner 803-447-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC DO868) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |