| NPI | 1801676994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-03-17 |