| NPI | 1235314774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L GRANTHAM Owner 919-735-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC FCL096009) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-06-26 |