| NPI | 1326034208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE MORLANDO Chief Finiancial Officer 919-250-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |