| NPI | 1104883586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ORTIZ BROOKS Billing Coordinator 919-844-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NC 9400950) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9500164) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-04-04 |