| NPI | 1871191304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELLA MOTEN WASHINGTON Chief Executive Officer 919-833-3111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |