| NPI | 1336942853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WILES Psychologist And Owner 864-420-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |