| NPI | 1114479011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOT MCCRAY CEO 919-833-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-08-05 |