| NPI | 1346396397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GABRIEL Executive Director 251-865-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL AL10034M) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-07-01 |