NPI | 1013468792 |
---|---|
Doing Business As | FETTER HEALTH CARE NETWORK-RACKITY HALL CAMP MIRGRANT CAMP |
Entity Type | Organization |
Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2022-10-28 |