| NPI | 1336462514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IESCHECIA NYTONYA GRAHAM ALLEN Executive Director 919-530-7908 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2025-02-13 |