| NPI | 1528470325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA IVELISS NEGRON Director Of Operations 910-779-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-026-954) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-10-10 |