| 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 |