| NPI | 1992063275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOWARD WAY Clinical Psychologist 843-509-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 447) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |