| NPI | 1548636616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MCCLAIN Medical Director 910-540-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2022-07-21 |