NPI | 1962250258 |
---|---|
Former Legal Business Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER, INC. |
Entity Type | Organization |
Authorized Contact | SANDRA D GILLIARD CEO 843-990-7993 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-05-10 |