| NPI | 1568464386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE BETTS-HEMBY CFO 252-747-8162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2025-08-06 |