| NPI | 1124740386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL M DEAN Executive Director/ Owner 980-224-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-01-10 |