| NPI | 1184829392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HAMPTON JULIOUS Executive Director 803-779-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-03-03 |