| NPI | 1396881066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCCUTCHEON Interim Chief Executive Officer 803-909-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: SC 42-1033) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-03-26 |