| NPI | 1740293422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BECK Director 803-777-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: SC 7492) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |