| NPI | 1164672515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TRACY LANGLEY President/CEO 910-272-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 102637) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |