| NPI | 1851464457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK R BROWN Director 843-777-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: SC 12114) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: SC 12114) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |