| NPI | 1285818765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. BOONE Owner 252-527-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC HAL054003) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |