NPI | 1366984643 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA G BREHMER Owner 843-821-2480 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 2117) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2016-11-17 |