| NPI | 1386998821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO J COLE Owner Psychologist 843-235-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NC 2220) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |