| 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 |