| NPI | 1386192540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN D PREWETTE Manager 864-626-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 24295) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |