| NPI | 1629389473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN KNIGHT-SCHLONDROP Pmhnp, Administrator 803-979-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3004) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2013-06-21 |