| NPI | 1801163423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA ESTELA HELLEBY-HARDY Director 336-765-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 177279) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 124938) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2016-04-26 |