| NPI | 1942496351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J MANISCALCO President/Owner 910-795-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC 3293) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-05-21 |