| NPI | 1407995442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J MCCOLE Finance Officer 910-455-3404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-10-29 |