| NPI | 1821002411 |
|---|---|
| Former Legal Business Name | HOPE FOR THE PEE DEE |
| Entity Type | Organization |
| Authorized Contact | MARK VINSON CFO 843-656-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-11-05 |