| 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 |