| NPI | 1427506401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WARD Owner/Executive Director 919-848-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 092-776) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 092-776) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2024-04-10 |