| NPI | 1851712616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA ANTOINETTE MCQUEEN Owner 910-364-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 34946) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2015-10-15 |