NPI | 1376183855 |
---|---|
Doing Business As | PENDLETON PLACE YOUTH DROPIN CENTER MEDICAL EXAM ROOM |
Entity Type | Organization |
Authorized Contact | J BRANDON GAFFNEY CEO & President 864-729-8330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-01-13 |
Last Update Date | 2024-10-11 |