NPI | 1316238645 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY JEFFRIES CEO/President 336-833-1582 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 251X00000X |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |