| NPI | 1831427871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE CALLES-ESCANDON Medical Director 336-293-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200201343) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2010-09-27 |