| NPI | 1326401217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JEAN HUERTA Executive Director 864-982-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-02-06 |