| NPI | 1225760325 |
|---|---|
| Doing Business As | THERAQUE HEALTH |
| Entity Type | Organization |
| Authorized Contact | AMBER WYSOCKI Chief Executive Officer 910-828-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |