| NPI | 1609646611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN EMANUEL-MCCLAIN CEO 803-380-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |