NPI | 1912388646 |
---|---|
Entity Type | Organization |
Authorized Contact | ZIAD MATTAR Md 803-272-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 251300000X Local Education Agency (LEA) |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
Enumeration Date | 2015-06-18 |
Last Update Date | 2015-06-18 |