| NPI | 1699119149 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY THOMAS CEO/President 704-923-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC CSAC 1911) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |