| NPI | 1205078748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL MARIANO GOMEZ Director Of Finance & Business 336-724-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-034-214) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |