| NPI | 1578743571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TURCI Business Manager 919-286-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 36626) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-20 |