| NPI | 1487792685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BAKER SHIPMON Owner 910-422-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 25100000X) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |