NPI | 1558652784 |
---|---|
Other Name | NORTHERN OUTREACH CLINIC |
Entity Type | Organization |
Authorized Contact | MICHELLE DENISE COLLINS-OGLE Medical Director 252-572-2610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NC 1077723) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2011-04-21 |
Last Update Date | 2024-12-04 |