NPI | 1003096942 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DENNIS ALEXANDER President/Owner 864-616-2108 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: SC 2015-30991-30138) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2015-11-10 |