| NPI | 1801055173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FRANK ULRICH Owner 803-905-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 965) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |