| NPI | 1629308572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSO CHERRY Owner/Administrator 252-377-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC FCL093010) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |