| NPI | 1376785857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P JOHNSON President 336-978-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8302288) |
| Additional Taxonomies | 251S00000X (Licence: NC 8302288B) |
| 251S00000X (Licence: NC 8302288G) | |
| 251S00000X (Licence: NC 8302288H) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2022-07-21 |