| NPI | 1376875344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MITCHELL Director 919-477-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1196) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-03-02 |