| NPI | 1902173891 |
|---|---|
| Doing Business As | NCFMC PEDITRIC AND ADOLESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ERNEST G. BROWN Executive Director 803-325-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-12-06 |