| NPI | 1093943649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WEAVER Chief Executive Officer 336-392-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NC 00011666) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |