NPI | 1750556486 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KILLIS PHILLIPS Owner 803-324-5191 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 210) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |