| 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 |