| NPI | 1598354300 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRANDI D MORGAN Owner Of Entity 803-201-3078 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2021-01-15 | 
| Last Update Date | 2025-10-17 |