| NPI | 1144404542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE HUDSON Owner 336-629-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC FCH076019) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |