| NPI | 1881632339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY CHACE Director Of Business Services 910-341-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 73991) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-04-22 |