| NPI | 1669780375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION SCOTT ELLIOTT CEO / Member 864-360-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-05-25 |