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 |