| NPI | 1700242260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH WEIKEL Office Manager 843-216-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC MD32844) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |