| NPI | 1558885400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FOX Owner 843-670-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 29770) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |