| NPI | 1275244766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES Chief Executive Officer 843-722-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-11-11 |