| NPI | 1043775703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN EMANUEL-MCCLAIN Chief Executive Officer 803-380-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-03-11 |