| NPI | 1104188606 |
|---|---|
| Doing Business As | AMBULATORY CARE CENTER FOR EVALUATION AND STABILIZATION |
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Director, Ambulatory Services Finan 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |