| NPI | 1104902964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN L BARNHILL CEO 252-972-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NC MHL033029) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |