| NPI | 1780759142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC E WEINBAUM President 843-629-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 19584SC) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |