| NPI | 1558946376 |
|---|---|
| Doing Business As | REGENESIS HEALTH CENTER- NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | MARLON HUNTER CEO 864-594-0190 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |