NPI | 1225358427 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY MARIE COOPER President/Executive Director 910-829-7184 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-063-016) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2013-03-25 |