| NPI | 1538417951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN RAJKOWSKI CEO 864-722-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2020-04-14 |