NPI | 1013163344 |
---|---|
Entity Type | Organization |
Authorized Contact | ROCHELLE MYLES MCCLAIN Executive Director 910-273-3278 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NC 305S00000X) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |