| NPI | 1760086466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALDEN BROWN Chief Medical & Solutions Officer 803-622-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |