| NPI | 1326404781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEL LEWIS Hr Coordinator 910-483-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NC 225782) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |