| NPI | 1518246966 |
|---|---|
| Doing Business As | RURAL MISSION MIGRANT SITE-JOHNS ISLAND |
| Entity Type | Organization |
| Authorized Contact | RONALD A RAVENELL CEO 843-722-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-09-01 |