| NPI | 1780677229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C PENNINGTON Chairman Of The Board 919-471-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-08-22 |