| NPI | 1730860552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN MCDERMOTT Owner/CEO 843-513-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-03-26 |