NPI | 1346249430 |
---|---|
Entity Type | Organization |
Authorized Contact | DELGADO CANTAVE Chief Executive Officer 803-733-5969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 104100000X Social Worker |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2022-02-03 |