| NPI | 1518639095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN SOWELL JENNINGS Psychiatric Nurse Practitioner 864-993-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2023-10-14 |