| NPI | 1518844646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA TERRELL GILBERT Physician Associate/Consultant 910-705-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |