| NPI | 1538988332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WINDSOR Member 864-214-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-14 |