| NPI | 1295943223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SABUR NASIRI Owner 910-485-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NC 35740) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-06-16 |