| NPI | 1053589812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BRITT Office Manager For Southern Pines 1888-483-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C004803) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |