| NPI | 1689096349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DARKO ASANTE Medical Director 910-600-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2009-01405) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-12-21 |