| NPI | 1255526224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAN THOMPSON KELSEY CEO 919-624-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 900229) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-01-30 |