| NPI | 1316753874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON HUNTER CEO 864-594-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-23 |