| 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 |