| NPI | 1427292101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWADWO GYARTENG-DAKWA Manager 919-220-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NC 130447) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-09-05 |