| NPI | 1962540831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH E COURTNEY Executive Director 803-642-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |