| NPI | 1447682935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WHALEY President 336-995-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NC 17053251337009) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |