| NPI | 1619155165 |
|---|---|
| Doing Business As | THE RIVER HOUSE |
| Entity Type | Organization |
| Authorized Contact | SHEILA PATRICIA INGRAM CEO/President 252-758-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC MHL074188) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |