NPI | 1669438206 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JOHN FUNSCH President 843-556-4157 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 15995) |
Enumeration Date | 2006-04-22 |
Last Update Date | 2020-08-22 |