NPI | 1780631374 |
---|---|
Doing Business As | WALLTOWN CLINIC |
Entity Type | Organization |
Authorized Contact | CLARETTA FOYE Chief Executive Officer 919-956-4022 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2022-07-28 |