| NPI | 1164701884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DARLENE RHODES Executive Director 252-757-9349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |