| NPI | 1730995085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HARVEY EVANS Sole Proprietor 919-631-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |