| NPI | 1891882049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN H CROWELL Certified Athletic Trainer 919-962-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NC 0307) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |