NPI | 1679751127 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE WELLS Executive Director 803-774-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 9114) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2008-02-07 |