| NPI | 1457788929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LISA PIKE HENRY Cbrs Provider 336-214-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage (Licence: NC CBRS Infant Toddler) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-10-16 |