| NPI | 1750518817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELE LUCK MELVILLE Owner 919-619-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NC 3074) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |