| NPI | 1578219424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MONK-JONES Billing Manager 252-212-3486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |