| NPI | 1164648861 |
|---|---|
| Other Name | CROASDAILE VILLAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ERICKSON Assistant Secretary/Corp Exec Dir 919-384-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-09-17 |