| NPI | 1134300585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE S SMITH Medical Director 919-844-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 27639) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-07-31 |