NPI | 1447530431 |
---|---|
Doing Business As | CLYBURN CENTER FOR PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CAROLYN EMANUEL-MCCLAIN Chief Executive Officer 803-380-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2016-08-10 |