| NPI | 1386134435 |
|---|---|
| Other Name | WELLSPRING HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JOSNELDAVMATUS FAIIVAE Director 803-760-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 34709) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 34709) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: SC 34709) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |