| NPI | 1588056741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE BROWN CEO 803-774-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |