| NPI | 1841581550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MCCOY-DAVIS Director 252-335-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC 09433) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |