| NPI | 1982124301 |
|---|---|
| Doing Business As | ONE 80 PLACE |
| Entity Type | Organization |
| Authorized Contact | ARETHA JONES CEO 843-722-4112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |