| NPI | 1073754289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELINE MORLANDO CFO 919-250-2939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |