NPI | 1841695665 |
---|---|
Entity Type | Organization |
Authorized Contact | SANTIYA BELL President 336-852-5025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 8298) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |