| NPI | 1629106430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBA M RAO Owner 803-551-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 23617) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |