| NPI | 1629517222 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEVEN KROZER CEO 864-520-2020 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20465) | 
| Enumeration Date | 2017-02-15 | 
| Last Update Date | 2024-10-30 |