| NPI | 1427261783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WEST President 843-572-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 301) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 9614) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 17805) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |