| NPI | 1346760931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA ADJINAH Owner 803-779-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-12-23 |