| NPI | 1205211471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GREENBERG Medical Director 919-836-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC 5007677) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |