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 |