| NPI | 1992148209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL FORBES Owner 919-680-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 032129) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-05-31 |