| NPI | 1750803243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SMITH Practice Administrator 843-286-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |