| NPI | 1760555346 |
|---|---|
| Doing Business As | PASSPORT HEALTH OF GSP |
| Entity Type | Organization |
| Authorized Contact | MARY LYNN LAWLER Executive Director 864-640-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC R38945) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |