| NPI | 1871362459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARSHALL FORD Co Owner, Provider 864-940-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-03-26 |