| NPI | 1275199978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CASEY Authorized Official 919-747-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2025-06-30 |