| NPI | 1467990234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE L DEHAVEN VP Of Clinical Services 919-926-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 39104) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |