| NPI | 1942445762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CRAWFORD Director/Officer 252-450-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2023-07-28 |