| NPI | 1205876521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY ELLIOT DEGUEHERY Medical Director 919-202-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NC 246Z00000X) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-30 |