| NPI | 1427325257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL VON SEGGERN Executive Director 336-574-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: NC 08521) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |