| NPI | 1932845591 |
|---|---|
| Doing Business As | RB STALL HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-09 |