| NPI | 1639384761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN WILLIAMS Executive Director 843-229-8504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 213469) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 55) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-01-17 |