| NPI | 1508042003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVA MUSERALLO Director 919-781-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-01-05 |