| NPI | 1114479326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BOUNDS CEO 910-267-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |