| NPI | 1902414154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON R HALLIDAY Managing Member 919-667-6679 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |