| NPI | 1679190771 |
|---|---|
| Doing Business As | FETTER MOBILE OUTREACH VEHICLE |
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-10-19 |