| NPI | 1104050442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS SPENCER Administrator 919-693-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC FCL-039-010) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |