| NPI | 1700888542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE BETTS-HEMBY CFO 252-747-8162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-02-28 |