| NPI | 1952799892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVNA VAIDYA TANK Owner 919-553-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 200400430) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |