| NPI | 1164699732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN WOODARD JONES Administrator 919-734-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC HAL0096008) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |