| NPI | 1750106787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ERVIN Owner 843-607-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |