| NPI | 1457477408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ELISE MIDDENDORF President, Owner 919-493-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 39035) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |