| NPI | 1376096776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE BEHERA Medical Director 919-641-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 42873) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-12-04 |