| NPI | 1518287523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIAVE PITISCI LAKE Owner 843-881-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 22627) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |