| NPI | 1659173615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L WILLIAMS CEO 864-229-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-11-14 |