| NPI | 1003326802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LOIS DEHAVEN Chief Operations Officer 919-208-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2014-00386) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |