NPI | 1609279504 |
---|---|
Other Name | INTERACTIVE RESOURCE CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN K. ELLERBY CEO 336-355-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |