NPI | 1427494392 |
---|---|
Doing Business As | INNOVATIONS RIDGEWOOD |
Entity Type | Organization |
Authorized Contact | STUART A HAMILTON CEO 803-733-5969 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2022-02-03 |