| 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 |