NPI | 1083600720 |
---|---|
Doing Business As | BEACHCARE OF HAVELOCK |
Entity Type | Organization |
Authorized Contact | WILLIAM GRAHAM EVANS Clinical Director/Owner 252-447-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NC 39759) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2010-11-04 |