| NPI | 1962978122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE M VAN ARKEL Division CFO 828-213-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-01-12 |