| NPI | 1588899314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA JOSIAH-HOWZE Owner 803-802-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 31489) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |