| NPI | 1407947781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICIA RAMIREZ Office Administrator 919-678-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 001424193) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |