NPI | 1295921153 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA LAVETTE PHILLIPS Executive Director 336-722-1627 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL 034-207) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |