| NPI | 1508318114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O'CONNELL Executive Director, Board Member 919-797-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC MD 2006-738) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2017-05-02 |