| NPI | 1447434931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA L BULLOCK President 919-956-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC FCL032067) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |