| NPI | 1104859313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FREEMAN Chief Executive Officer 252-522-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-12-13 |