| NPI | 1760220123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE BETTS-HEMBY CFO 252-747-8162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-09-03 |