NPI | 1700145042 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHLEEN KOUVOLO WINCEY Psychiatrist 843-614-2675 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 31151) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2012-05-07 |