| NPI | 1598959660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P JOHNSON CEO 336-896-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300513) |
| Additional Taxonomies | 251S00000X (Licence: NC 8300513G) |
| 251S00000X (Licence: NC 8300513H) | |
| 251S00000X (Licence: NC 8300513B) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2018-08-22 |