| NPI | 1609063411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M COVINGTON Assoc. Vice Chan. 919-966-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC 261QH0100X) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |