| NPI | 1952493587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ANNE WALKER CFO 336-599-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-06-17 |