| NPI | 1831333723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN LEE MCNEILL President 910-583-1104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC mhl026872) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |