| NPI | 1558931766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-10-06 |