| NPI | 1164724795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA S HESTER CEO 919-383-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC MHL032452) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |