NPI | 1578858247 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JONES SOMERVILLE Executive Director 252-257-1904 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
261QP2300X Clinic/Center, Primary Care | |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2014-11-03 |