| NPI | 1528865375 |
|---|---|
| Doing Business As | YORK STREET NE |
| Entity Type | Organization |
| Authorized Contact | MARK C HEDMAN Authorized Offical 803-380-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2026-03-18 |