| NPI | 1205829694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NAGOWSKI CEO 910-609-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NC H0213) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2010-09-30 |