| NPI | 1730667106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY MOLYNEUX Director Of Development 251-338-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center Corporate Health (Licence: AL DO1567) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: AL DO1567) |
| 261QP2300X Clinic/Center Primary Care (Licence: AL DO1567) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |