| NPI | 1548641855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNNETTE MUHAMMAD Owner/Executive Director 980-729-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC LCAS) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |