| NPI | 1376890152 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | ADAM TAYLOR Executive Director 843-225-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: SC MD7722) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |