| NPI | 1730625518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LUGO Director 336-337-8726 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 5009190) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |