| NPI | 1417071069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA KATHLEEN ASCHBRENNER Director Of Operations 910-346-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL067140) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |