| NPI | 1467646679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WIMMER Clinic Manager 336-373-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NC 0161E0001) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |