| NPI | 1851692891 |
|---|---|
| Doing Business As | HEALTH SOURCE OF MONROE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICCOBONI Organizing Member 336-766-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 3062) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |