| NPI | 1942484357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH E GRANTHAM Owner 919-734-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC FCL096018) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-06-26 |