NPI | 1649843657 |
---|---|
Doing Business As | FAMILY HEALTH CENTER PRIMARY CARE MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | DONDRE WILSON CFO 803-531-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2024-04-18 |