| NPI | 1518518901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRUMPTON Chief Executive Officer 336-694-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-04-20 |