| NPI | 1790874865 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | RONALD PAOLINI Owner 803-649-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC SC0341) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |