| NPI | 1053848820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRUMPTON Chief Executive Officer 336-694-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-04-20 |