| NPI | 1609730951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL BABB Director Of Health And Wellness 910-603-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-02-03 |