| NPI | 1902375900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIS WRIGHT President 803-728-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-08-20 |