| NPI | 1932650611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLONDA EDGERTON Clinical Director Of Operations 919-844-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC P010630) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |