| NPI | 1265692735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA JUANITA TURNER Owner/Director Of Operations 919-357-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC C20081560005) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2010-06-21 |