| NPI | 1821236951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOHN MICHELS Clinical Psychologist 803-237-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 282) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |