| NPI | 1831808112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GRIMES Owner 843-971-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |