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 |