| NPI | 1437448750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHEBA KEY-ALLRED Contract Specialist 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2017-04-24 |