NPI | 1669848354 |
---|---|
Other Name | CAMPBELL AFL |
Entity Type | Organization |
Authorized Contact | RACHELLE BROOKS-BLUE Owner/Clinical Director 910-257-4339 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC 6791) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |