| NPI | 1356617781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN JONATHAN BOSMAN Psychiatrist 843-906-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 28183) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-11-15 |